Healthcare Provider Details

I. General information

NPI: 1497866818
Provider Name (Legal Business Name): SHARON OSHIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 ROUTE 59 STE 306
SUFFERN NY
10901-5204
US

IV. Provider business mailing address

222 ROUTE 59 STE 306
SUFFERN NY
10901-5204
US

V. Phone/Fax

Practice location:
  • Phone: 845-368-0422
  • Fax: 845-368-3224
Mailing address:
  • Phone: 845-368-0422
  • Fax: 845-368-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number188206
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: