Provider Demographics
NPI:1538645080
Name:POLLACK, SHARON TZIPORAH (MS, CGC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:TZIPORAH
Last Name:POLLACK
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:TZIPORAH
Other - Last Name:POLLACK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:4499 HENRY HUDSON PKWY APT 5F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3833
Mailing Address - Country:US
Mailing Address - Phone:718-373-2000
Mailing Address - Fax:
Practice Address - Street 1:1755 46TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1270
Practice Address - Country:US
Practice Address - Phone:718-373-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional