Sharon R Bank, FNP
Individual provider Active NPI Nurse Practitioner · Katonah, NY
NPI 1689626533 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1689626533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F334002 (NY)
- Practice address
- 111 Bedford Road
Mount Kisco Medical Group PC
Katonah, NY 10536 - Phone
- (914) 232-3135
- Fax
- (914) 232-7588
- NPI assigned
- May 17, 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334002 | NY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334002 | NY | Yes |
Addresses
Primary practice location
111 Bedford Road
Mount Kisco Medical Group PC
Katonah, NY 10536
Mailing address
110 South Bedford Road
Mount Kisco Medical Group PC
Mount Kisco, NY 10549
Phone (914) 242-2930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02661627 | Medicaid | NY |
Other providers in Katonah, NY
- Sheldon Axelrod
- Doaa Ayoubi
- Amy Azzari
- Anitha R Bachireddy
- Laura A Baldwin Okeefe
- Mark Robert Banschick
- John Peter Barbieri
- Jewel Barboza
- Harry Emanuel Baumgarten
- Allison Jo Bell
All providers in Katonah, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. 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.