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SHARON OBSTETRICALGYNECOLOGICALMEDICAL SURGICAL GROUP PLLC NPI 1174824882


NPI Information

NPI: 1174824882
Provider Name: SHARON OBSTETRICAL,GYNECOLOGICAL,MEDICAL SURGICAL GROUP PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 07D0674765

Address:
2510 ROUTE 44 STE 5
SALT POINT, NY
ZIP 12578
Phone: (860) 364-0536
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SHARON OBSTETRICAL,GYNECOLOGICAL,MEDICAL SURGICAL GROUP PLLC is an obstetrics gynecology in Salt Point, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SHARON OBSTETRICAL,GYNECOLOGICAL,MEDICAL SURGICAL GROUP PLLC NPI is 1174824882. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2510 ROUTE 44 STE 5
SALT POINT, NY
ZIP 12578-041
Phone: (860) 364-0536
Fax: (860) 364-1299

The provider's authorized official is Ann Cassese .
The authorized official title is Manager and has the following contact phone number (860) 364-0536.

The CLIA number assigned to this NPI record is 07D0674765 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/11/2010 and was last updated on 11/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology164036-1NEW YORKNo
2207V00000XObstetrics & Gynecology167955-1NEW YORKNo
3207V00000XObstetrics & Gynecology212348-1NEW YORKNo
4208600000XSurgery244135NEW YORKNo
5208600000XSurgery185676NEW YORKNo
6207V00000XObstetrics & Gynecology154156-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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