Individual
SHARON LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SHERIDAN AVE, HEWLETT, NY 11557-1614
(917) 407-2325
Mailing address
30 SHERIDAN AVE, HEWLETT, NY 11557-1614
(917) 407-2325
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
511981
NY
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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