MEDICARE: SHERREE BOYCE LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency	0923141	NY

General Provider Information

NPI Number	:	1811382039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERREE BOYCE LMSW

Provider Business Mailing Address
First Line	:	3540 DECATUR AVE APT 6E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-1733
Country	:	US
Telephone Number	:	646-595-9223
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 DECATUR AVE APT 6E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-1733
Country	:	US
Telephone Number	:	646-595-9223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	04/03/2015

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