MEDICARE: DR. SHARON HERZFELD 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	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	209776	NY

General Provider Information

NPI Number	:	1760687669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON HERZFELD M.D.

Provider Business Mailing Address
First Line	:	250 RIVERSIDE DR # 55C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-6146
Country	:	US
Telephone Number	:	646-717-0380
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 RIVERSIDE DR # 55C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-6146
Country	:	US
Telephone Number	:	646-717-0380
Fax Number	:

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	10/10/2025

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