Provider Demographics
NPI:1417157025
Name:SCHARRER, MONICA ANN (RN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:SCHARRER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 GRANADA CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2810
Mailing Address - Country:US
Mailing Address - Phone:631-476-4313
Mailing Address - Fax:
Practice Address - Street 1:65 GRANADA CIR
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2810
Practice Address - Country:US
Practice Address - Phone:631-476-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-21
Last Update Date:2007-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY496301-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01987484Medicaid