MEDICARE: MRS. SHARON KRIKHELY D.O.

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
1	207R00000X	Internal Medicine Physician	265747	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1235360041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON KRIKHELY D.O.

Provider Business Mailing Address
First Line	:	11201 QUEENS BLVD
Second Line	:	APT 20D
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5566
Country	:	US
Telephone Number	:	516-302-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	11117A QUEENS BLVD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5553
Country	:	US
Telephone Number	:	516-302-7801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	03/25/2013

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