Provider Demographics
NPI:1134520729
Name:SHARP, KARLEIGH J (PA-C)
Entity type:Individual
Prefix:
First Name:KARLEIGH
Middle Name:J
Last Name:SHARP
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-1514
Mailing Address - Country:US
Mailing Address - Phone:315-730-8519
Mailing Address - Fax:
Practice Address - Street 1:3170 WEST ST STE 275
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1711
Practice Address - Country:US
Practice Address - Phone:585-341-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17887363A00000X
NY017887363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant