Provider Demographics
NPI:1154562346
Name:ABRAHAM, SHERIN MARY (MSFNP)
Entity type:Individual
Prefix:MRS
First Name:SHERIN
Middle Name:MARY
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MSFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:40 WINDSOR GATE DR
Mailing Address - Street 2:BREATH FOR LIFE INC
Mailing Address - City:NORTH HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1061
Mailing Address - Country:US
Mailing Address - Phone:516-233-2917
Mailing Address - Fax:
Practice Address - Street 1:40 WINDSOR GATE DR
Practice Address - Street 2:BREATH FOR LIFE INC
Practice Address - City:NORTH HILLS
Practice Address - State:NY
Practice Address - Zip Code:11040-1061
Practice Address - Country:US
Practice Address - Phone:516-233-2917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335741-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily