Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 220174 | NY |
N | 208200000X | Surgeon | 220174 | NY |
N | 208600000X | Surgeon | 220174 | NY |
NPI | 1003016353 |
---|---|
Provider Name | Cordelia V Sharma |
First Address | Westbury, NY 11590-1740 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 18/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02155902 | (05) | NY |
F84137 | (02) | NY |