Provider Demographics
NPI:1497806244
Name:SHERMAN, TARA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:LYNN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3671 HUDSON MANOR TER APT 17C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1140
Mailing Address - Country:US
Mailing Address - Phone:212-876-0364
Mailing Address - Fax:718-548-2908
Practice Address - Street 1:1225 PARK AVE
Practice Address - Street 2:# 1S
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1758
Practice Address - Country:US
Practice Address - Phone:212-876-0364
Practice Address - Fax:718-548-2908
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2016-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1759572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF63149Medicare UPIN
NY81H402Medicare ID - Type Unspecified