Provider Demographics
NPI:1952920605
Name:SHEEHAN, NIAMH MARY
Entity Type:Individual
Prefix:
First Name:NIAMH
Middle Name:MARY
Last Name:SHEEHAN
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 1:1 ALDEN PARK
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3704
Mailing Address - Country:US
Mailing Address - Phone:718-737-1335
Mailing Address - Fax:
Practice Address - Street 1:1000 HUTCHINSON RIVER PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1899
Practice Address - Country:US
Practice Address - Phone:718-828-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist