Provider Demographics
NPI:1063823888
Name:MY HEALTH & ME, NP IN FAMILY HEALTH P.L.L.C
Entity Type:Organization
Organization Name:MY HEALTH & ME, NP IN FAMILY HEALTH P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:1347-915-8087
Mailing Address - Street 1:1759 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3527
Mailing Address - Country:US
Mailing Address - Phone:347-915-8087
Mailing Address - Fax:866-729-3670
Practice Address - Street 1:1010 RUTLAND ROAD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2224
Practice Address - Country:US
Practice Address - Phone:347-915-8087
Practice Address - Fax:866-729-3670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1831411784OtherINDIVIDUAL PROVIDER NPI