Sharon R. Albert, PA

Individual provider Active NPI Physician Assistant · Hicksville, NY

NPI 1295898419 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295898419
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
003536 (NY)
Practice address
350 S Broadway
Hicksville, NY 11801-5006
Phone
(516) 938-0100
Fax
(516) 938-0120
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003536NYMDSports Medicine Podiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003536 NY Yes

Addresses

Primary practice location

350 S Broadway
Hicksville, NY 11801-5006

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-5500

Other providers in Hicksville, NY

All providers in Hicksville, NY · Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.