1396952750 NPI number — DR. ALIDA CAROL SHERMAN PSY.D.

Table of content: DR. ALIDA CAROL SHERMAN PSY.D. (NPI 1396952750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396952750 NPI number — DR. ALIDA CAROL SHERMAN PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHERMAN
Provider First Name:
ALIDA
Provider Middle Name:
CAROL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.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:
1396952750
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 MEADOW DR
Provider Second Line Business Mailing Address:
APT 1L
Provider Business Mailing Address City Name:
WOODMERE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11598-2204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-791-2928
Provider Business Mailing Address Fax Number:
516-791-2928

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1226 W BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEWLETT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11557-1923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-398-9782
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2007

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: 103TC0700X , with the licence number:  013118-1 , 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)





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