Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N004514 | NY |
N | 222Z00000X | Podiatrist | N004514 | NY |
Y | 213EP1101X | Primary Podiatric Medicine | N004514 | NY |
NPI | 1164415493 |
---|---|
Provider Name | Dr. Sherry Maria Ransom |
First Address | Mt. Vernon, NY 10552-2332 |
Second Address | Mt. Vernon, NY 10552-2032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 03/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01127944 | (05) | NY |
P2728330 | OXFORD (01) | NY |
P46922 | EMPIRE (01) | NY |
T82990 | (02) |