| Organization Name: | RICHARD SHERMAN D.P.M. |
| NPI Number: | 1114100385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD SHERMAN (PODIATRIST) |
| Mailing Address: | 199 Jericho Tpke Suite 202 Floral Park |
| State: | NY US |
| Postal Code: | 110012100 |
| Phone Number: | 5164881131 |
| Fax Number: | 5164881151 |
| NPI Enumeration Date: | 12/11/2007 |
| NPI Last Update Date: | 12/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 003153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |