1336330091 NPI number — DR. HARRIET SHERI ACKERMAN M.D.

Table of content: ESMERALDA B GRANADOS (NPI 1154037828)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336330091 NPI number — DR. HARRIET SHERI ACKERMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ACKERMAN
Provider First Name:
HARRIET
Provider Middle Name:
SHERI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336330091
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38 JEFFERSON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HASTINGS ON HUDSON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10706-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-478-5989
Provider Business Mailing Address Fax Number:
914-478-3787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
61 SMITH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT KISCO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10549-2813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-629-1466
Provider Business Practice Location Address Fax Number:
914-478-3787
Provider Enumeration Date:
08/07/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  206835 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0804X , with the licence number: 206835 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)