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NPI Code Detail

MEDICARE: DR. SHERN HART M.D.

MEDICARE: DR. SHERN HART M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician124668NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255333688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERN HART M.D.
Provider Business Mailing Address
First Line : PO BOX 488
Second Line :
City : TRUMANSBURG
State : NY
Zip : 14886-0488
Country : US
Telephone Number : 607-387-5781
Fax Number :
Provider Business Practice Location Address
First Line : 47 HECTOR
Second Line :
City : TRUMANSBURG
State : NY
Zip : 14886
Country : US
Telephone Number : 607-387-5781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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