Doctor Name: | DR. BRIJ MOHAN SHARMA |
NPI Number: | 1215941620 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 112575482 |
Business Practice Address: | 216 Willis Ave Roslyn Heights, NY - 115772125 |
Business Phone Number: | 5164841333 |
Business Fax Number: | 5166217158 |
Mailing Address: | 216 Willis Ave, ROSLYN HEIGHTS |
State: | NY |
Postal Code: | 115772125 |
Phone Number: | 5164841333 |
Fax Number: | 5166217158 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 112575482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |