Provider Demographics
NPI:1720383755
Name:SOBOL, SHARON (PT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:SOBOL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 GAIL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3658
Mailing Address - Country:US
Mailing Address - Phone:914-527-6666
Mailing Address - Fax:845-634-4404
Practice Address - Street 1:43 GAIL DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3658
Practice Address - Country:US
Practice Address - Phone:914-527-6666
Practice Address - Fax:845-634-4404
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004386225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist