Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD064345L | PA |
NPI | 1174522619 |
---|---|
Provider Name | Dr. Sharon L Hrabovsky |
First Address | Sewickley, PA 15143-8568 |
Second Address | Sewickley, PA 15143-8568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 06/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003462ZC44 | MEDICARE GROUP MEMBER PROVIDER NUMBER (01) | PA |
070015781 | PALMETTO GBA RAILROAD MED (01) | |
1871631291 | GROUP NPI NUMBER (01) | PA |
716101 | HIGHMARK (01) | PA |
F41638 | (02) | PA |