Sharon L. Petito, L.AC., LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003437 Issued in NY

Practice address

1400 Wantagh Ave
Suite 202
Wantagh, NY 11793-2257

Phone

(516) 695-1633

NPI assigned

Jan 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1275686271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JEFFERSON AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683084",
            "telephone_number": "516-695-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE",
            "address_2": "SUITE 202",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932257",
            "telephone_number": "516-695-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITO",
        "first_name": "SHARON",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "L.AC., LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003437",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27022253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H Perlman, PH.D.
• Kristin Marie Perricelli, DPT
• Jeanette Perucca, M.S., CCC-SLP
• Jessica Lynn Peters, LPN
• Kirsten E Petersen, PHD
• Pamela Susan Pfefer
• Jaymie Phillips, M.S. CCC-SLP
• Jian Pi
• Rachell Pierre-Louis, PSY.D, NCSP
• Debra Jane Pitman, DSW, LCSW

• Acupuncturist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.