Individual
MS. SHARA JOANNE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM,LM,MS
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 499-3636
Mailing address
502A 9TH ST, BROOKLYN, NY 11215-4660
(718) 499-3636
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001751
—
NY
Enumeration date
09/07/2016
Last updated
04/21/2023
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