Individual
DR. MICKEY PRADEEP SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 RAMAPO RD, GARNERVILLE, NY 10923-1718
(845) 947-2232
(845) 947-1339
Mailing address
66 RAMAPO RD, GARNERVILLE, NY 10923-1718
(845) 947-2232
(845) 947-1339
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
217358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02088851
—
NY
Enumeration date
12/14/2006
Last updated
07/08/2007
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