Provider Demographics
NPI:1386847176
Name:FLEMING.SHERMAN, KAREN L (RN, CNS)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:FLEMING.SHERMAN
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 KINGDOM RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-2005
Mailing Address - Country:US
Mailing Address - Phone:914-234-0006
Mailing Address - Fax:914-234-3563
Practice Address - Street 1:15 KINGDOM RIDGE RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-2005
Practice Address - Country:US
Practice Address - Phone:914-234-0006
Practice Address - Fax:914-234-3563
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000571106H00000X
NY251288-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN33801Medicare ID - Type Unspecified