Provider Demographics
NPI:1952415804
Name:WARD, SHARI D (NP-PSYCHIATRY)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:D
Last Name:WARD
Suffix:
Gender:F
Credentials:NP-PSYCHIATRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-5065
Mailing Address - Country:US
Mailing Address - Phone:914-924-7724
Mailing Address - Fax:
Practice Address - Street 1:102 GLENEIDA AVE STE 1
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1219
Practice Address - Country:US
Practice Address - Phone:845-225-4707
Practice Address - Fax:845-225-4719
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4004991363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420795Medicaid
NY01420795Medicaid