Individual
SHEILLA BERMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259-64 148TH ROAD, ROSEDALE, NY 11422-2904
(718) 608-7617
Mailing address
259-64 148TH ROAD, ROSEDALE, NY 11422-2904
(718) 608-7617
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
314889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314889-1
LICENSE
NY
Enumeration date
08/18/2015
Last updated
08/18/2015
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