Individual
MRS. SHARLE ANN TASSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9097 TIOUGHANACK RD, CANASTOTA, NY 13032-4224
(315) 697-3674
Mailing address
9097 TIOUGHANACK RD, CANASTOTA, NY 13032-4224
(315) 697-3674
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
361827-1
NY
163WX0200X
Oncology Registered Nurse
361827-1
NY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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