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Individual
SHARON A ELLIS
Active
Individual
SHARON A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307662
—
NY
05
—
00332288
—
NY
01
—
331880
FQHC NUMBER
NY
Enumeration date
09/09/2005
Last updated
07/13/2026
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