Healthcare Provider Details
I. General information
NPI: 1790761468
Provider Name (Legal Business Name): SHARNA L. STRIAR PH.D, PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/15/2005
Last Update Date: 01/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 PARK AVE 20E
NEW YORK NY
10016-5339
US
IV. Provider business mailing address
4 PARK AVE 20E
NEW YORK NY
10016-5314
US
V. Phone/Fax
- Phone: 212-532-3945
- Fax:
- Phone: 212-532-3945
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | M207287-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: