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General NPI Number Information
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NPI Number | 1942594585
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Entity Type | Organization
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Legal Business Name | JOHN C. SHERSHOW, M.D., P.C.
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 240 CENTRAL PARK S 2H
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City | NEW YORK
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State | NY
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Zip | 10019-1457
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Country | US
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Telephone | 212-265-4310
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Fax | 516-706-0671
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Provider Business Mailing Address
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Address Line | 240 CENTRAL PARK S 2H
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City | NEW YORK
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State | NY
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Zip | 10019-1457
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Country | US
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Telephone | 212-265-4310
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Fax | 516-706-0671
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN CUTLER SHERSHOW
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Credential | M.D.
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Telephone | 212-265-4310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 103476
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License Number State | NY
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