Provider Demographics
NPI:1528335965
Name:O'KREPKIE, SHARON RYAN (MS/OTR)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:RYAN
Last Name:O'KREPKIE
Suffix:
Gender:F
Credentials:MS/OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-4428
Mailing Address - Country:US
Mailing Address - Phone:516-944-8385
Mailing Address - Fax:
Practice Address - Street 1:8 LOWELL RD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-4428
Practice Address - Country:US
Practice Address - Phone:516-944-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006772174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator