Provider Demographics
NPI:1811078546
Name:MCDOWALL, SHARON A (CNM)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:MCDOWALL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 89TH ST
Mailing Address - Street 2:1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3421
Mailing Address - Country:US
Mailing Address - Phone:212-996-6774
Mailing Address - Fax:212-423-8121
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:DEPT OB/GYN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6796
Practice Address - Fax:121-423-8121
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000430367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife