Provider Demographics
NPI:1245401686
Name:ALAN P SHERR DC PC
Entity Type:Organization
Organization Name:ALAN P SHERR DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHERR
Authorized Official - Suffix:
Authorized Official - Credentials:DC PC
Authorized Official - Phone:631-262-8505
Mailing Address - Street 1:220 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3900
Mailing Address - Country:US
Mailing Address - Phone:631-262-8505
Mailing Address - Fax:361-754-2909
Practice Address - Street 1:220 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3900
Practice Address - Country:US
Practice Address - Phone:631-262-8505
Practice Address - Fax:361-754-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty