Provider Demographics
NPI:1225399702
Name:NEUFVILLE, SHERIE (DPM)
Entity Type:Individual
Prefix:
First Name:SHERIE
Middle Name:
Last Name:NEUFVILLE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GRAND CONCOURSE
Mailing Address - Street 2:#5
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 GRAND CONCOURSE
Practice Address - Street 2:#5
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3003
Practice Address - Country:US
Practice Address - Phone:718-401-8943
Practice Address - Fax:718-401-8945
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006712213ES0131X, 213E00000X, 213EP1101X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine