Provider Demographics
NPI:1194039701
Name:SHERSHOW, JOHN CUTLER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CUTLER
Last Name:SHERSHOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:240 CENTRAL PARK S
Mailing Address - Street 2:SUITE 2H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1457
Mailing Address - Country:US
Mailing Address - Phone:800-388-9299
Mailing Address - Fax:516-528-9958
Practice Address - Street 1:240 CENTRAL PARK S
Practice Address - Street 2:SUITE 2H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1457
Practice Address - Country:US
Practice Address - Phone:800-388-9299
Practice Address - Fax:516-528-9958
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
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Provider Licenses
StateLicense IDTaxonomies
NY1034762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry