Provider Demographics
NPI:1558502484
Name:LIFF, SHARON
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:LIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2505
Mailing Address - Country:US
Mailing Address - Phone:914-834-9027
Mailing Address - Fax:914-834-9027
Practice Address - Street 1:7 CLIFF WAY
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2505
Practice Address - Country:US
Practice Address - Phone:914-834-9027
Practice Address - Fax:914-834-9027
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011090103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent