Provider Demographics
NPI:1477800506
Name:SHARP, MADELEINE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:ELIZABETH
Last Name:SHARP
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 1:463 COLUMBUS AVE
Mailing Address - Street 2:APT # 9
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5147
Mailing Address - Country:US
Mailing Address - Phone:212-305-7004
Mailing Address - Fax:
Practice Address - Street 1:463 COLUMBUS AVE
Practice Address - Street 2:APT # 9
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5147
Practice Address - Country:US
Practice Address - Phone:212-305-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP84484261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center