Provider Demographics
NPI:1013317502
Name:HYLTON, SHARON MARIA
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIA
Last Name:HYLTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SOUTH STREET
Mailing Address - Street 2:HARBOR HOUSE ASSISTED LIVING
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771
Mailing Address - Country:US
Mailing Address - Phone:516-624-8400
Mailing Address - Fax:516-624-2949
Practice Address - Street 1:150 SOUTH STREET
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771
Practice Address - Country:US
Practice Address - Phone:516-624-8400
Practice Address - Fax:516-624-2949
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224594-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse