Healthcare Provider Details

I. General information

NPI: 1366454142
Provider Name (Legal Business Name): SHARON R PICCIONE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NOYES ST
UTICA NY
13502-3854
US

IV. Provider business mailing address

501 WOODHAVEN ROAD
UTICA NY
13502
US

V. Phone/Fax

Practice location:
  • Phone: 315-738-4440
  • Fax: 315-738-4410
Mailing address:
  • Phone: 315-794-6045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number303590
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: