Provider Demographics
NPI:1528628435
Name:SCHARF, MARY CHRISTINE (MSPED)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CHRISTINE
Last Name:SCHARF
Suffix:
Gender:F
Credentials:MSPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 SHAREN DR
Mailing Address - Street 2:
Mailing Address - City:LIDO BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-5233
Mailing Address - Country:US
Mailing Address - Phone:516-236-9226
Mailing Address - Fax:
Practice Address - Street 1:33 SHAREN DR
Practice Address - Street 2:
Practice Address - City:LIDO BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-5233
Practice Address - Country:US
Practice Address - Phone:516-236-9226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116616647174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist