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NPI Code Detail

MEDICARE: SHARON BEDFORD

MEDICARE: SHARON BEDFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician150106NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053495812
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON BEDFORD
Provider Business Mailing Address
First Line : 711 TROY SCHENECTADY RD
Second Line : SUITE 201
City : LATHAM
State : NY
Zip : 12110-2442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 JORDAN RD
Second Line : SUITE 104
City : TROY
State : NY
Zip : 12180-8343
Country : US
Telephone Number : 518-274-9126
Fax Number : 518-274-9487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 01/25/2026

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Directions to “ SHARON BEDFORD ” Practice Location

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