Individual
SHARI JOY RAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SHARI J RAKE, RN CNM
Contact information
Practice address
974 ROUTE 45 STE 1000, POMONA, NY 10970-3568
(845) 354-1113
Mailing address
69 JESSUP RD, WARWICK, NY 10990-2529
(845) 988-5654
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00041100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000597
NY LICENSE
NY
05
—
05056079
—
NY
01
—
A400191181
MEDICARE
NY
Enumeration date
10/19/2006
Last updated
12/02/2021
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