Provider Demographics
NPI:1053330100
Name:PHILEMOND, SHEILLA (PHYSICAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:SHEILLA
Middle Name:
Last Name:PHILEMOND
Suffix:
Gender:F
Credentials:PHYSICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 ROYCE ST APT 3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5936
Mailing Address - Country:US
Mailing Address - Phone:347-668-3532
Mailing Address - Fax:718-245-5474
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:NEW YORK METHODIST HOSPITAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-5942
Practice Address - Fax:718-780-3287
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008560-1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical