Healthcare Provider Details

I. General information

NPI: 1730094970
Provider Name (Legal Business Name): SHARON TANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 15TH AVE
BROOKLYN NY
11219-5403
US

IV. Provider business mailing address

919 PARK PL APT 6A
BROOKLYN NY
11213-1804
US

V. Phone/Fax

Practice location:
  • Phone: 718-303-9400
  • Fax:
Mailing address:
  • Phone: 856-701-2865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number054662-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: