Provider Demographics
NPI:1437459187
Name:DUNSON, SHERIL PHILIP
Entity type:Individual
Prefix:
First Name:SHERIL
Middle Name:PHILIP
Last Name:DUNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1133
Mailing Address - Country:US
Mailing Address - Phone:646-886-8687
Mailing Address - Fax:
Practice Address - Street 1:85 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1133
Practice Address - Country:US
Practice Address - Phone:646-886-8687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033184225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist