Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 1420641 | NY |
NPI | 1275626269 |
---|---|
Provider Name | Rita Sharma |
First Address | New Windsor, NY 12553 |
Second Address | New Windsor, NY 12553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |