Provider Demographics
NPI:1073200796
Name:OSTIGUY, SHARON (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:OSTIGUY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:OSTIGUY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:2 HIGHWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2404
Mailing Address - Country:US
Mailing Address - Phone:914-391-5824
Mailing Address - Fax:
Practice Address - Street 1:2 HIGHWAY AVE
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2404
Practice Address - Country:US
Practice Address - Phone:914-391-5824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF404775-01363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health