Provider Demographics
NPI:1730145525
Name:BRUSTEIN, SHERYL N (MD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:N
Last Name:BRUSTEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:244 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2638
Mailing Address - Country:US
Mailing Address - Phone:516-764-2509
Mailing Address - Fax:
Practice Address - Street 1:MERCY MEDICAL CENTER DEPT OF PATHOLOGY
Practice Address - Street 2:1000 NORTH VILLAGE AVE
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11571-9024
Practice Address - Country:US
Practice Address - Phone:516-705-2098
Practice Address - Fax:516-705-2691
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY157426207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400009864Medicare PIN