Individual
MR. ADAM RICHARD SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1051 COUNTY ROUTE 11, WEST MONROE, NY 13167-4158
(315) 668-7295
Mailing address
1051 COUNTY ROUTE 11, WEST MONROE, NY 13167-4158
(315) 668-7295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306184
NY
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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