Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 184365 | NY |
NPI | 1831304609 |
---|---|
Provider Name | Dr. Sharon L Stancliff |
First Address | New York, NY 10025-3452 |
Second Address | New York, NY 10003-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E88046 | (02) | NY |