Basic Information
Provider Information
NPI: 1417106089
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MONROE-HUNTE
FirstName: SHERYL
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: 17491
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MONROE-HUNTE
OtherFirstName: SHERYL
OtherMiddleName: A
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: CASAC
OtherLastNameType: 2
Mailing Information
Address1: 960 HEGEMAN AVE
Address2: APT.1
City: BROOKLYN
State: NY
PostalCode: 112084416
CountryCode: US
TelephoneNumber: 2128762300
FaxNumber: 2127227618
Practice Location
Address1: 2369 2ND AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100353108
CountryCode: US
TelephoneNumber: 2128762300
FaxNumber: 2127227618
Other Information
ProviderEnumerationDate: 09/18/2008
LastUpdateDate: 09/18/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X17491NYY Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)

No ID Information.


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