Provider Demographics
NPI:1255651618
Name:CURLEY, SHARON A (NP)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:CURLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:A
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 EDGEWATER ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-4907
Mailing Address - Country:US
Mailing Address - Phone:718-226-1047
Mailing Address - Fax:718-226-1039
Practice Address - Street 1:584 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2512
Practice Address - Country:US
Practice Address - Phone:718-226-6755
Practice Address - Fax:718-226-5646
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336169363LF0000X
NY402474363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03372052Medicaid
NY03372052Medicaid