Provider Demographics
NPI:1245484344
Name:GILBERT, SHARI MARLA (NNP)
Entity type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:MARLA
Last Name:GILBERT
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:MRS
Other - First Name:SHARI
Other - Middle Name:MARLA
Other - Last Name:DIMARCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NNP
Mailing Address - Street 1:12 FORREST WAY
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3840
Mailing Address - Country:US
Mailing Address - Phone:845-471-3666
Mailing Address - Fax:
Practice Address - Street 1:1650 SELWYN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7626
Practice Address - Country:US
Practice Address - Phone:718-579-2658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF350057-1363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care