Healthcare Provider Details

I. General information

NPI: 1811294945
Provider Name (Legal Business Name): SHARON MOVSAS RD CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON NEWHOUSE

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 BLONDELL AVE MONTEFIORE MEDICAL PARK, ENDOCRINOLOGY, SUITE 200
BRONX NY
10461-2660
US

IV. Provider business mailing address

1825 EASTCHESTER RD MONTEFIORE MEDICAL CENTER, DIABETES CENTER, 10TH FLOOR
BRONX NY
10461-2301
US

V. Phone/Fax

Practice location:
  • Phone: 718-904-2246
  • Fax:
Mailing address:
  • Phone: 718-904-2246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number001303-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: