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Organization
IDAN SHARON, MD, PC
Active
Organization
IDAN SHARON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDAN SHARON MD (AUTHORIZED OFFICIAL)
(718) 680-8105
Entity
Organization
Contact information
Practice address
345 SEAVIEW AVE, STATEN ISLAND, NY 10305-2244
(718) 680-8105
(718) 680-6556
Mailing address
398 BOND ST, BROOKLYN, NY 11231-4812
(718) 680-8105
(718) 680-6556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
197670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02085821
—
NY
Enumeration date
03/20/2008
Last updated
05/01/2024
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