Provider Demographics
NPI:1265770317
Name:EYE, SHARON (LPN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:EYE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GAIGAL DR
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-2206
Mailing Address - Country:US
Mailing Address - Phone:631-656-8573
Mailing Address - Fax:
Practice Address - Street 1:9 GAIGAL DR
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-2206
Practice Address - Country:US
Practice Address - Phone:631-656-8573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224257-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse