Healthcare Provider Details

I. General information

NPI: 1841121415
Provider Name (Legal Business Name): YEHUDA SHER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 CARROLL ST
BROOKLYN NY
11213-4404
US

IV. Provider business mailing address

623 CENTRAL AVE
CEDARHURST NY
11516-2237
US

V. Phone/Fax

Practice location:
  • Phone: 347-680-9601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: