Individual
DR. SHARISSE DANIELLE VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(185) 837-7736
(718) 537-6180
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N007429
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2022
Last updated
06/20/2025
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