Individual
DR. SHARON MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373
(718) 558-1870
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
147632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00871572
—
NY
01
—
A400009787
EMPIRE MEDICARE
NY
01
—
G400001991
GHI MEDICARE
NY
01
—
P00937153
RAILROAD MEDICARE
NY
Enumeration date
06/30/2006
Last updated
04/03/2015
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