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NPI Code Detail

MEDICARE: SHARON LYNN ARAGONA PA

MEDICARE: SHARON LYNN ARAGONA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant005258-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2005258-1OTHERNYLICENSE

General Provider Information

NPI Number : 1083610489
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON LYNN ARAGONA PA
Provider Business Mailing Address
First Line : 711 TROY SCHENECTADY RD
Second Line : SUITE 203
City : LATHAM
State : NY
Zip : 12110-2442
Country : US
Telephone Number : 518-782-3700
Fax Number :
Provider Business Practice Location Address
First Line : 14 VISTA BLVD
Second Line :
City : SLINGERLANDS
State : NY
Zip : 12159-2184
Country : US
Telephone Number : 518-459-5273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/01/2014

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Directions to “ SHARON LYNN ARAGONA PA” Practice Location

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