Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X3168 | NY |
NPI | 1679524490 |
---|---|
Provider Name | Dr. Sharon Denise Buerker |
First Address | Schenectady, NY 12303-3809 |
Second Address | Schenectady, NY 12303-3809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000445014001 | BLUE SHIELD # (01) | NY |
10019840 | CDPHP # (01) | NY |
C031684B | WORKER'S COMPENSATION # (01) | NY |
N80040 | MVP # (01) | NY |
T26316 | (02) | NY |
X31322 | BCBS # (01) | NY |