Individual
SHARON KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 318-3434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
228053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691454
—
NY
Enumeration date
06/23/2006
Last updated
12/01/2020
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