Provider Demographics
NPI:1790761468
Name:STRIAR, SHARNA L (PHD, PMHCNS-BC)
Entity Type:Individual
Prefix:DR
First Name:SHARNA
Middle Name:L
Last Name:STRIAR
Suffix:
Gender:F
Credentials:PHD, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PARK AVE
Mailing Address - Street 2:20E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5314
Mailing Address - Country:US
Mailing Address - Phone:212-532-3945
Mailing Address - Fax:
Practice Address - Street 1:4 PARK AVE
Practice Address - Street 2:20E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5339
Practice Address - Country:US
Practice Address - Phone:212-532-3945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYM207287-1364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY117825-000OtherMAGELLAN BEHAVIORAL HEALTH
NY5528098OtherAETNA
NYR09861OtherBLUECROSS BLUESHIELD