Provider Demographics
NPI:1861511958
Name:PATERNO, SHARON LYNNE (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYNNE
Last Name:PATERNO
Suffix:
Gender:F
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 PARAMUS RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1511
Mailing Address - Country:US
Mailing Address - Phone:201-652-0202
Mailing Address - Fax:
Practice Address - Street 1:343 PARAMUS RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1511
Practice Address - Country:US
Practice Address - Phone:201-652-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2972111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJPA526191Medicare UPIN