Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 240178-1 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 240178 | NY |
NPI | 1073527347 |
---|---|
Provider Name | Sharone Sheffer-Babila |
First Address | Staten Island, NY 10305-4907 |
Second Address | Staten Island, NY 10310-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 19/01/2012 |