National Provider Identifier

Sharon S. Kozlowski, CFNP

Sharon S. Kozlowski, CFNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-5858.

NPI 1184683039Ithaca, NYNurse Practitioner

Profile Overview

NPI
1184683039
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
March 20, 2006
Last Updated
August 02, 2011

Practice Location

  • 1780 Hanshaw RD
  • Ithaca, NY 14850-9105

Phone: (607) 257-5858

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1184683039
Entity Type
Individual
Last Name
Kozlowski
First Name
Sharon
Middle Name
S.
Name Prefix
MS.
Credential
CFNP
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
1780 Hanshaw RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9105
Practice Country
US
Practice Phone
(607) 257-5858
Practice Fax
(607) 257-1718
Enumeration Date
March 20, 2006
Last Updated
August 02, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)
Other Identifiers
01731891 (NY), CC8362 (NY, Rr Medicare Group), 500018987 (NY, Rr Medicare Pin)