Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F308138-1 | NY |
N | 363LG0600X | Nurse Practitioner - Gerontology | 7308138-1 | NY |
NPI | 1063945061 |
---|---|
Provider Name | Miss Sharlinee Sritharan |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2017 |
Last Update Date | 26/04/2018 |