Sharen Branch
Individual provider Active NPI Contractor · Marlboro, NY
NPI 1356581045 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1356581045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1191 Route 9W
Suite C2 & C3
Marlboro, NY 12542-5421 - Phone
- (845) 236-7838
- Fax
- (877) 254-0888
- NPI assigned
- Feb 20, 2009
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NY | Yes |
Addresses
Primary practice location
1191 Route 9W
Suite C2 & C3
Marlboro, NY 12542-5421
Mailing address
1191 Route 9W
Suite C2 & C3
Marlboro, NY 12542-5421
Phone (845) 236-7838
Other providers in Marlboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.