Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 193274 | NY |
NPI | 1184610503 |
---|---|
Provider Name | Sharon Rose Beier |
First Address | Bronx, NY 10453-4015 |
Second Address | Bronx, NY 10453-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 16/02/2012 |