Provider Demographics
NPI:1679835094
Name:STEINBERG LADOLCETTA, SHARI (SHARI LADOLCETTA)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:
Last Name:STEINBERG LADOLCETTA
Suffix:
Gender:F
Credentials:SHARI LADOLCETTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 GRANTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1978
Mailing Address - Country:US
Mailing Address - Phone:718-966-4080
Mailing Address - Fax:
Practice Address - Street 1:389 GRANTWOOD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-1978
Practice Address - Country:US
Practice Address - Phone:718-966-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY661815103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst