Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 002396-01 | NY |
Y | 222Z00000X | Podiatrist | 002396-01 | NY |
NPI | 1033135850 |
---|---|
Provider Name | Dr. Gary Jay Sherman |
First Address | New York, NY 10168-0002 |
Second Address | Ny, NY 10168-1965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 26/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00433050 | (05) | NY |
T50750 | (02) | NY |