Provider Demographics
NPI:1851710628
Name:SHERMAN, MATTHEW JASON (DO)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JASON
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY, HSC T-10, ROOM 020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8101
Mailing Address - Country:US
Mailing Address - Phone:631-444-3005
Mailing Address - Fax:631-444-7534
Practice Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY, HSC T-10, ROOM 020
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794
Practice Address - Country:US
Practice Address - Phone:631-444-3005
Practice Address - Fax:631-444-7534
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2018-06-19
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Provider Licenses
StateLicense IDTaxonomies
NY2871522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry