Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F001378-1 | NY |
NPI | 1144532706 |
---|---|
Provider Name | Tanya Elizabeth Sherman |
First Address | Brooklyn, NY 11215-4103 |
Second Address | Brooklyn, NY 11215-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2010 |
Last Update Date | 23/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03530835 | (05) | NY |