Provider Demographics
NPI:1063653400
Name:OBRIEN, SHEILA B (DC,BS)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:B
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:DC,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SEDGWICK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-4621
Mailing Address - Country:US
Mailing Address - Phone:914-423-0186
Mailing Address - Fax:
Practice Address - Street 1:401 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-4503
Practice Address - Country:US
Practice Address - Phone:914-375-0050
Practice Address - Fax:914-375-3601
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009712-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor