Provider Demographics
NPI:1245303346
Name:DEANS, SHARON D (MD FACOG)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:D
Last Name:DEANS
Suffix:
Gender:F
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 COMMUNITY DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3820
Mailing Address - Country:US
Mailing Address - Phone:516-365-3666
Mailing Address - Fax:516-365-3799
Practice Address - Street 1:444 COMMUNITY DR
Practice Address - Street 2:SUITE 105
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3820
Practice Address - Country:US
Practice Address - Phone:516-365-3666
Practice Address - Fax:516-365-3799
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBD2588070174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5C8759OtherHEALTH NET
NY0201563OtherGHI
NY189139OtherHIP
NYE71545Medicaid
NY189139OtherVYTRA
NY189139-C27OtherHEALTH FIRST
NY499252OtherAETNA
NYP699451OtherOXFORD
NY1258178OtherUNITED
NY189139-C27OtherHEALTH FIRST
NY499252OtherAETNA