Provider Demographics
NPI:1477811016
Name:RICHARDS, SHERMA
Entity Type:Individual
Prefix:MS
First Name:SHERMA
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 COVERT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1101
Mailing Address - Country:US
Mailing Address - Phone:718-919-7536
Mailing Address - Fax:718-573-8099
Practice Address - Street 1:125 COVERT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-1101
Practice Address - Country:US
Practice Address - Phone:718-919-7536
Practice Address - Fax:718-573-8099
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353536-1372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider