Healthcare Provider Details

I. General information

NPI: 1306095666
Provider Name (Legal Business Name): SHERRIE G NEUSTEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 EASTERN PKWY
BROOKLYN NY
11213-3502
US

IV. Provider business mailing address

358 KINGSTON AVE
BROOKLYN NY
11213-4332
US

V. Phone/Fax

Practice location:
  • Phone: 718-735-6002
  • Fax: 718-735-6004
Mailing address:
  • Phone: 718-778-7272
  • Fax: 718-773-4583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number250122
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: