Provider Demographics
NPI:1447397161
Name:MANN, SHARI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:
Last Name:MANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8108
Mailing Address - Country:US
Mailing Address - Phone:718-515-8600
Mailing Address - Fax:718-519-5203
Practice Address - Street 1:2401 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8108
Practice Address - Country:US
Practice Address - Phone:718-515-8600
Practice Address - Fax:718-519-5203
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204234207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH00590Medicare UPIN
NYH00590Medicare UPIN