Provider Demographics
NPI:1497908180
Name:UNGER, SHARON J (CCC-A)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:UNGER
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 DERBY AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2819
Mailing Address - Country:US
Mailing Address - Phone:516-569-2534
Mailing Address - Fax:
Practice Address - Street 1:1728 BROADWAY
Practice Address - Street 2:SUITE 5
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1630
Practice Address - Country:US
Practice Address - Phone:516-887-5788
Practice Address - Fax:516-887-5990
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1100231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist