MEDICARE: DR. RACHEL SHERMAN M.D.

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	207R00000X	Internal Medicine Physician	214554	NY

General Provider Information

NPI Number	:	1558362616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL SHERMAN M.D.

Provider Business Mailing Address
First Line	:	1592 2ND AVE
Second Line	:	APT. 2B
City	:	NEW YORK
State	:	NY
Zip	:	10028-4123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 W KINGSBRIDGE RD
Second Line	:	BRONX VA HOSPITAL, OOA, SUITE D
City	:	BRONX
State	:	NY
Zip	:	10468-3904
Country	:	US
Telephone Number	:	718-584-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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