Provider Demographics
NPI:1467071233
Name:LANGDON, SHERINA ALLISON (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:SHERINA
Middle Name:ALLISON
Last Name:LANGDON
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:SHERINA
Other - Middle Name:ALLISON
Other - Last Name:LANGDON-GRANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MBA
Mailing Address - Street 1:150 BODEN AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5145
Mailing Address - Country:US
Mailing Address - Phone:516-280-0566
Mailing Address - Fax:
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3198
Practice Address - Country:US
Practice Address - Phone:718-240-5973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3256552084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry