Provider Demographics
NPI:1881046761
Name:SEALEY, RHONDA
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:SEALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 EAST 3RD STREET
Mailing Address - Street 2:APT 1E
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553
Mailing Address - Country:US
Mailing Address - Phone:917-213-2710
Mailing Address - Fax:
Practice Address - Street 1:590 E 3RD ST
Practice Address - Street 2:APT 1E
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1819
Practice Address - Country:US
Practice Address - Phone:917-213-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72-089911104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker