Healthcare Provider Details

I. General information

NPI: 1588682702
Provider Name (Legal Business Name): SHARON DANIELLE SEAMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 NOTT ST
SCHENECTADY NY
12308-2425
US

IV. Provider business mailing address

600 MCCLELLAN ST
SCHENECTADY NY
12304-1009
US

V. Phone/Fax

Practice location:
  • Phone: 518-243-4135
  • Fax: 518-243-1367
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number300333
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: