Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 206353 | NY |
NPI | 1285704635 |
---|---|
Provider Name | Sharon Dial |
First Address | Manhasset, NY 11030 |
Second Address | Manhasset, NY 11030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |