Provider Demographics
NPI:1962735779
Name:SHARPLESS, DARLISA (RRT)
Entity type:Individual
Prefix:MRS
First Name:DARLISA
Middle Name:
Last Name:SHARPLESS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MISS
Other - First Name:DARLISA
Other - Middle Name:
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:800 POLY PL
Mailing Address - Street 2:RESPIRATORY CARE ROOM 13-119
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7104
Mailing Address - Country:US
Mailing Address - Phone:718-836-6600
Mailing Address - Fax:718-467-5687
Practice Address - Street 1:800 POLY PL
Practice Address - Street 2:RESPIRATORY CARE ROOM 13-119
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7104
Practice Address - Country:US
Practice Address - Phone:718-836-6600
Practice Address - Fax:718-467-5687
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0030202279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care