Provider Demographics
NPI:1235688797
Name:KERN-TAUB, SHARON (MSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:KERN-TAUB
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 NETHERLAND AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4801
Mailing Address - Country:US
Mailing Address - Phone:718-884-3355
Mailing Address - Fax:917-591-2894
Practice Address - Street 1:2727 PALISADE AVE
Practice Address - Street 2:14D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1018
Practice Address - Country:US
Practice Address - Phone:718-601-1006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR039685-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist