Provider Demographics
NPI:1437471976
Name:VOSEFSKI, SHARON (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:VOSEFSKI
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 1:12 CARAMEL CT
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1007
Mailing Address - Country:US
Mailing Address - Phone:631-368-0186
Mailing Address - Fax:
Practice Address - Street 1:12 CARAMEL CT
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1007
Practice Address - Country:US
Practice Address - Phone:631-368-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY622079163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse