Healthcare Provider Details

I. General information

NPI: 1083610489
Provider Name (Legal Business Name): SHARON LYNN ARAGONA PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON LYNN LITVAK PA

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 VISTA BLVD
SLINGERLANDS NY
12159-2184
US

IV. Provider business mailing address

711 TROY SCHENECTADY RD SUITE 203
LATHAM NY
12110-2442
US

V. Phone/Fax

Practice location:
  • Phone: 518-459-5273
  • Fax:
Mailing address:
  • Phone: 518-782-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number005258-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: