Provisiero, Sharon Nicole

Provisiero, Sharon Nicole is an sole proprietor health care provider with primary practice located at 90 E Main St Ste I , Patchogue NY 11772-3176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Provisiero, Sharon Nicole can be contacted via phone (631) 208-6514.

Contact Information

Primary practice address
90 E Main St Ste I Patchogue NY 11772-3176
Phone: (631) 208-6514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F360353-01 New York

Profile Details

NPI number 1902713696
LBN Legal business name Provisiero, Sharon Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2026
Last updated Sep 4th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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