Basic Information
Provider Information
NPI: 1588921118
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHARMA
FirstName: ARTI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26 OAKLEY ST
Address2:  
City: POUGHKEEPSIE
State: NY
PostalCode: 126012005
CountryCode: US
TelephoneNumber: 8454863570
FaxNumber: 8454863599
Practice Location
Address1: 26 OAKLEY ST
Address2:  
City: POUGHKEEPSIE
State: NY
PostalCode: 126012005
CountryCode: US
TelephoneNumber: 8454863570
FaxNumber: 8454863599
Other Information
ProviderEnumerationDate: 04/20/2012
LastUpdateDate: 04/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X070942NYY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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