Individual
CORDELIA V SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 3040N, HAWTHORNE, NY 10532-2140
(914) 493-6820
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
220174
NY
208600000X
Surgery Physician
220174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02155902
—
NY
Enumeration date
07/24/2007
Last updated
11/18/2019
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