Provider Demographics
NPI:1467029850
Name:SAMUEL L. SHARMAT M.D, P.C.
Entity Type:Organization
Organization Name:SAMUEL L. SHARMAT M.D, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-804-7665
Mailing Address - Street 1:315 5TH AVE RM 701
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6590
Mailing Address - Country:US
Mailing Address - Phone:212-804-7665
Mailing Address - Fax:
Practice Address - Street 1:315 5TH AVE RM 701
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6590
Practice Address - Country:US
Practice Address - Phone:212-804-7665
Practice Address - Fax:212-804-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-05
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty