Basic Information
Provider Information
NPI: 1235140195
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHERMAN
FirstName: JEFFREY
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 WESTCHESTER AVE
Address2: SUITE N511
City: RYE BROOK
State: NY
PostalCode: 105731354
CountryCode: US
TelephoneNumber: 9144285454
FaxNumber: 9142536900
Practice Location
Address1: 41 E POST RD
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106014607
CountryCode: US
TelephoneNumber: 9146810600
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/10/2006
LastUpdateDate: 04/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X60138820NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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