Provider Demographics
NPI:1386826311
Name:KREPS, SHARON MCGANN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MCGANN
Last Name:KREPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DEERLAND ACRES
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-4316
Mailing Address - Country:US
Mailing Address - Phone:845-265-2708
Mailing Address - Fax:
Practice Address - Street 1:10 DEERLAND ACRES
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-4316
Practice Address - Country:US
Practice Address - Phone:845-265-2708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1128732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology