Healthcare Provider Details

I. General information

NPI: 1568687119
Provider Name (Legal Business Name): SHARONE BETH ORNSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 W END AVE
NEW YORK NY
10023-6103
US

IV. Provider business mailing address

38 HILLSIDE AVE
GLEN RIDGE NJ
07028-2118
US

V. Phone/Fax

Practice location:
  • Phone: 212-579-6336
  • Fax: 212-875-9273
Mailing address:
  • Phone: 973-743-9338
  • Fax: 973-743-9226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number150624
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: