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Individual

MRS. SHARON LYN ZARIELLO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
14 E BROADWAY, PORT JEFFERSON, NY 11777-1400
(631) 642-9525
(631) 642-9525
Mailing address
152 AVENUE B, HOLBROOK, NY 11741-1409
(631) 642-9525
(631) 642-9525

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
049107
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02053354
NY
01
151910
TRICARE
NY
01
2064020
CIGNA
NY
01
6226676
UBU
NY
01
7480588
VALUE OPTIONS
NY
01
95977
VYTRA
NY
01
P3150566
OXFORD
NY
01
R049107
HIP
NY
Enumeration date
11/30/2005
Last updated
07/08/2007
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