Provider Demographics
NPI:1760809651
Name:STANLEY, SHARON HOPE (MS/ED, MS/INSCI)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:HOPE
Last Name:STANLEY
Suffix:
Gender:F
Credentials:MS/ED, MS/INSCI
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:HOPE
Other - Last Name:OISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2127 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6035
Mailing Address - Country:US
Mailing Address - Phone:516-578-6678
Mailing Address - Fax:
Practice Address - Street 1:2127 STEWART AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6035
Practice Address - Country:US
Practice Address - Phone:516-578-6678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128596861251C00000X
NY4849377041251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY174400000XOtherSPECIALIST