Healthcare Provider Details

I. General information

NPI: 1881152825
Provider Name (Legal Business Name): LINDSEY SHERWIN MSC, RDT, EXAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E 83RD ST APT 5D
NEW YORK NY
10028-7299
US

IV. Provider business mailing address

515 E 83RD ST APT 5D
NEW YORK NY
10028-7299
US

V. Phone/Fax

Practice location:
  • Phone: 347-286-8430
  • Fax:
Mailing address:
  • Phone: 347-286-8430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number893
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: