=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528404589
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALINA SHARINN M.D. PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2013
-----------------------------------------------------
Last Update Date | 02/25/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 133 E 58TH ST STE 401
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10022-1155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-759-5596
-----------------------------------------------------
Fax | 212-574-3330
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 133 E 58TH ST STE 401
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10022-1155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-759-5596
-----------------------------------------------------
Fax | 212-574-3330
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ALINA SHARINN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 212-759-5596
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | 240421
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------