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NPI Code Detail

MEDICARE: MS. SHARON G. DREXLER LCSW

MEDICARE: MS. SHARON G. DREXLER LCSW
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
11041C0700XClinical Social WorkerRO53843-1NY
21041C0700XClinical Social WorkerCW013782PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1053843OTHERNYHIP

General Provider Information

NPI Number : 1144373622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON G. DREXLER LCSW
Provider Business Mailing Address
First Line : 130 5TH AVE
Second Line : SUITE 910
City : NEW YORK
State : NY
Zip : 10011-4306
Country : US
Telephone Number : 215-965-4412
Fax Number :
Provider Business Practice Location Address
First Line : 130 5TH AVE
Second Line : SUITE 910
City : NEW YORK
State : NY
Zip : 10011-4306
Country : US
Telephone Number : 215-965-4412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 07/08/2007

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