Provider Demographics
NPI:1316514201
Name:SHERMAN, DANIEL (LCAT, RDT, MA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:LCAT, RDT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W 225TH ST, APT 32E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 W 225TH ST, APT 32E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10463-5035
Practice Address - Country:US
Practice Address - Phone:646-734-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY