Individual
MRS. SHARON ICILDA CHUKWUEMEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 8TH AVE, 2ND FLOOR, NEW YORK, NY 10018-4305
(212) 787-9700
Mailing address
115 E MOSHOLU PKWY N, B 32, BRONX, NY 10467-2923
(347) 662-9698
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
330468031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174400000X
—
NY
Enumeration date
06/17/2012
Last updated
06/17/2012
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