Healthcare Provider Details

I. General information

NPI: 1689740425
Provider Name (Legal Business Name): SHARON ANN TAYLOR SMALLS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON ANN SMALLS

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 WEST 157TH STREET
NEW YORK NY
10032-5058
US

IV. Provider business mailing address

44 W 28TH ST FL 5
NEW YORK NY
10001-4212
US

V. Phone/Fax

Practice location:
  • Phone: 212-781-7979
  • Fax: 212-781-7963
Mailing address:
  • Phone: 212-545-2409
  • Fax: 212-463-8411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF0012301
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: