Provider Demographics
NPI:1720864929
Name:NAFTALI, SHARON (EARLY INTERVENTION)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:NAFTALI
Suffix:
Gender:F
Credentials:EARLY INTERVENTION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2722
Mailing Address - Country:US
Mailing Address - Phone:516-647-8912
Mailing Address - Fax:
Practice Address - Street 1:1930 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5382
Practice Address - Country:US
Practice Address - Phone:516-647-8912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician