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NPI Code Detail

MEDICARE: MS. SHARON DIANN WOODLEY MA

MEDICARE: MS. SHARON DIANN WOODLEY MA
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 WorkerR029331-1NY

General Provider Information

NPI Number : 1841775822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON DIANN WOODLEY MA
Provider Business Mailing Address
First Line : 36 CREST DR
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10607-2724
Country : US
Telephone Number : 914-882-2930
Fax Number :
Provider Business Practice Location Address
First Line : 860 MELROSE AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-4443
Country : US
Telephone Number : 347-372-3520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2018
Last Update Date : 09/26/2018

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