Healthcare Provider Details

I. General information

NPI: 1952415804
Provider Name (Legal Business Name): SHARI D WARD NP-PSYCHIATRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 GLENEIDA AVE STE 1
CARMEL NY
10512-1219
US

IV. Provider business mailing address

32 OLD FARM RD
CARMEL NY
10512-5065
US

V. Phone/Fax

Practice location:
  • Phone: 845-225-4707
  • Fax: 845-225-4719
Mailing address:
  • Phone: 914-924-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF4004991
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: