Individual
MONICA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
31 RIVER RD, COS COB, CT 06807-2152
(203) 863-2003
(203) 863-2025
Mailing address
1160 PARK AVE, NEW YORK, NY 10128-1212
(203) 863-2003
(203) 863-2025
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013459
NY
Other
Enumeration date
09/09/2009
Last updated
04/01/2021
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