MEDICARE: SHERYL A PEARL MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	219051	NY

General Provider Information

NPI Number	:	1003983321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERYL A PEARL MD PC

Provider Business Mailing Address
First Line	:	951 BROADWAY
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1733
Country	:	US
Telephone Number	:	516-569-0776
Fax Number	:	516-569-0776

Provider Business Practice Location Address
First Line	:	951 BROADWAY
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1733
Country	:	US
Telephone Number	:	516-569-0776
Fax Number	:	516-569-0776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHERYL A PEARL
Credential	:	M.D.
Telephone Number	:	516-569-0776

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	01/17/2008

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