Provider Demographics
NPI:1306272398
Name:BISKOROWAY BROWN, SHEILA C (LMHC, NCC, CCMHC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:C
Last Name:BISKOROWAY BROWN
Suffix:
Gender:F
Credentials:LMHC, NCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 DEMOREST AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-2208
Mailing Address - Country:US
Mailing Address - Phone:718-447-5704
Mailing Address - Fax:
Practice Address - Street 1:201 DEMOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-2208
Practice Address - Country:US
Practice Address - Phone:718-619-7559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health