Provider Demographics
NPI:1396415337
Name:PLACENCIA, SHARINA I (BS)
Entity Type:Individual
Prefix:MISS
First Name:SHARINA
Middle Name:
Last Name:PLACENCIA
Suffix:I
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:SHARINA
Other - Middle Name:
Other - Last Name:PLACENCIA
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:469 W 166TH ST APT 5A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-8199
Mailing Address - Country:US
Mailing Address - Phone:347-866-8763
Mailing Address - Fax:
Practice Address - Street 1:469 W 166TH ST APT 5A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-8199
Practice Address - Country:US
Practice Address - Phone:347-866-8763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator