Provider Demographics
NPI:1063647030
Name:HAMER, SHERRI SARA (MS)
Entity Type:Individual
Prefix:
First Name:SHERRI SARA
Middle Name:
Last Name:HAMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:HAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:9 PARK CIR
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1024
Mailing Address - Country:US
Mailing Address - Phone:646-919-3383
Mailing Address - Fax:516-792-1641
Practice Address - Street 1:9 PARK CIR
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1024
Practice Address - Country:US
Practice Address - Phone:646-919-3383
Practice Address - Fax:516-792-1641
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015303235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist