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NPI Code Detail

MEDICARE: SHARON GLEASON

MEDICARE: SHARON GLEASON
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
1164W00000XLicensed Practical Nurse0217667NY

Other Identifiers

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

General Provider Information

NPI Number : 1225973142
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON GLEASON
Provider Business Mailing Address
First Line : 203 LAURENS ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-2511
Country : US
Telephone Number : 716-373-8080
Fax Number : 716-373-8093
Provider Business Practice Location Address
First Line : 203 LAURENS ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-2511
Country : US
Telephone Number : 716-373-8080
Fax Number : 716-373-8093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ SHARON GLEASON ” Practice Location

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