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NPI Code Detail

MEDICARE: DR. MIRA SHERER D.O.

MEDICARE:  DR. MIRA  SHERER  D.O.
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
12084N0400XNeurology Physician216785-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111-3552139OTHERNY1199 NBF
23099497OTHERNYGHI
3P2749118OTHERNYOXFORD
411-3552139OTHERNYMAGNACARE
511202375OTHERNYMULTIPLAN
64C4368OTHERNYHEALTH NET
7010116302OTHERNYAMERICHOICE
81424985OTHERNYCIGNA
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
102167851OTHERNYHIP
11128720301OTHERNYHEALTH PLUS
12458N61OTHERNYEMPIRE BC/BS

General Provider Information

NPI Number : 1912961616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRA SHERER D.O.
Provider Business Mailing Address
First Line : 47 GAYLORD DR N
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-6711
Country : US
Telephone Number : 718-331-1442
Fax Number : 718-680-4473
Provider Business Practice Location Address
First Line : 8712 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5110
Country : US
Telephone Number : 718-680-1600
Fax Number : 718-680-4473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 07/08/2007

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