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NPI Code Detail

MEDICARE: ALONZO SHERMAN

MEDICARE: ALONZO SHERMAN
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
1207V00000XObstetrics & Gynecology Physician134021NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366504052
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALONZO SHERMAN
Provider Business Mailing Address
First Line : 80 MARCUS DR
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1380 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-4702
Country : US
Telephone Number : 718-240-5071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2006
Last Update Date : 07/08/2007

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Directions to “ ALONZO SHERMAN ” Practice Location

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