Healthcare Provider Details

I. General information

NPI: 1154033066
Provider Name (Legal Business Name): SHARON ARGUEDAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 W 29TH ST FL 5
NEW YORK NY
10001-5150
US

IV. Provider business mailing address

1320 ADAMS ST STE DE
HOBOKEN NJ
07030-2370
US

V. Phone/Fax

Practice location:
  • Phone: 201-308-6622
  • Fax: 201-308-6623
Mailing address:
  • Phone: 201-308-6622
  • Fax: 201-308-6623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number032508
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: