Provider Demographics
NPI:1154470508
Name:KIUHARA, SHARON N (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:N
Last Name:KIUHARA
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4404
Mailing Address - Country:US
Mailing Address - Phone:718-442-6147
Mailing Address - Fax:718-815-3399
Practice Address - Street 1:633 CLOVE RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2736
Practice Address - Country:US
Practice Address - Phone:718-442-6147
Practice Address - Fax:718-815-3399
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010418 1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical