Individual provider · NPI-1

Sharon G. Coritsidis, RN, MSN, CPNP, CPON

Nurse Practitioner, Pediatrics · Mineola, NY

NPI number1386893196
StatusActive
Last updated in NPPESAug 11, 2022

Details

NPI
1386893196
Entity type
Individual (NPI-1)
Name
Sharon G. Coritsidis
Credential
RN, MSN, CPNP, CPON
Sex
Female
Sole proprietor
No
Enumeration date
Sep 17, 2008
Certification date
Aug 11, 2022
Last updated
Aug 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF381497-1NYYes

Practice location

120 Mineola Blvd
Suite 460
Mineola, NY 11501-4064

Phone 516-663-9400 · Fax 516-663-9482

Mailing address

222 Station Plz N
Suite 611
Mineola, NY 11501-3800

Phone 516-663-2532 · Fax 516-663-8874

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