Provider Demographics
NPI:1770537086
Name:FINCH, SHARON L (NPP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:FINCH
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 UNION ST.
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308
Mailing Address - Country:US
Mailing Address - Phone:518-374-6263
Mailing Address - Fax:518-289-5225
Practice Address - Street 1:5 HEMPHILL PLACE
Practice Address - Street 2:SUITE 121
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020
Practice Address - Country:US
Practice Address - Phone:518-289-5072
Practice Address - Fax:518-289-5225
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322711163WP0809X
NYF400275363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC6225Medicare ID - Type UnspecifiedMEDICARE IDENTIFIER