Individual
MR. ROBERT DANIEL SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPP
Contact information
Practice address
587 MAIN ST STE 110A, NEW YORK MILLS, NY 13417-1488
(315) 507-5811
(315) 507-5823
Mailing address
587 MAIN ST STE 110A, NEW YORK MILLS, NY 13417-1488
(315) 507-5811
(315) 507-5823
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401417-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730610510
—
NY
Enumeration date
09/01/2011
Last updated
03/21/2018
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