Healthcare Provider Details

I. General information

NPI: 1316514201
Provider Name (Legal Business Name): DANIEL SHERMAN LCAT, RDT, MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 225TH ST, APT 32E
NEW YORK NY
10463-5035
US

IV. Provider business mailing address

150 W 225TH ST, APT 32E
NEW YORK NY
10463-5035
US

V. Phone/Fax

Practice location:
  • Phone: 646-734-5310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: