Healthcare Provider Details

I. General information

NPI: 1699698993
Provider Name (Legal Business Name): SHARON EFRAEEM FISHBERG MD, MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1676 SUNSET AVE
UTICA NY
13502-5416
US

IV. Provider business mailing address

111 HOSPITAL DR
UTICA NY
13502-2517
US

V. Phone/Fax

Practice location:
  • Phone: 315-624-5252
  • Fax: 315-624-5225
Mailing address:
  • Phone: 315-917-9966
  • Fax: 315-624-6744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number341449
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: