Sharkness, Andrea Beth
Sharkness, Andrea Beth is an individual health care provider with primary practice located at 1301 Trumansburg Rd Suite H, Ithaca NY 14850-1397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sharkness, Andrea Beth can be contacted via phone (607) 272-6880.Contact Information
Primary practice address
1301 Trumansburg Rd Suite H
Ithaca NY 14850-1397
Phone: (607) 272-6880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F382070-1 | New York |
Profile Details
| NPI number | 1528371291 |
|---|---|
| LBN Legal business name | Sharkness, Andrea Beth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2010 |
| Last updated | Oct 5th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528371291 | NPPES |
| New York | MEDICAID | 03248446 |
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