SHERLY MAMMEN (NPI# 1780229401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780229401 |
| Entity Type | Individual |
| Full Name | SHERLY MAMMEN |
| Practice Address |
90 Birchwood Dr New Hyde Park NY 11040-3742 |
| Practice Telephone | 5163851075 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
420722 | NY | Nursing Service Providers |
| Street Address |
90 BIRCHWOOD DR |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802776 | Erin Delgado | Registered Nurse | 2399 N Union Street Ext, Olean, NY 14760-1574 | 2020-05-13 |
| 1811518210 | Janay Jasmine Smalls | Registered Nurse | 430 Irving Ave, Syracuse, NY 13210-2343 | 2020-04-27 |
| 1265061741 | Shaniqua Charisse Hunter | Registered Nurse | 7 Lawrence Dr Apt D, White Plains, NY 10603-1348 | 2020-04-06 |
| 1972148641 | Sam Mathew | Registered Nurse | 8251 251st St, Bellerose, NY 11426-2527 | 2019-11-17 |
| 1568005171 | Anchala Thykkoottathil Joy | Registered Nurse | 119 Terrace Ave, Elmont, NY 11003-1738 | 2019-10-26 |
| 1558853408 | Afolabi O Adegbite | Registered Nurse | 402 Screvin Ave, Bronx, NY 10473-1810 | 2018-06-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1861922189 | Tara Relation | Registered Nurse | 574 N Star Rd, Mooers, NY 12958-3617 | 2017-06-19 |
| 1326578881 | Corrinne Marie Corrado | Registered Nurse | 32 Douglaston Dr, Plattsburgh, NY 12901-4927 | 2017-06-18 |
| 1720515620 | Lisa Schimitsch | Registered Nurse | 6 Whetmore Dr, Syosset, NY 11791-2919 | 2017-05-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on SHERLY MAMMEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.