Provider Demographics
NPI:1518172246
Name:AMLER, SHERLITA NADGERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERLITA
Middle Name:NADGERINE
Last Name:AMLER
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 1:28 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2653
Mailing Address - Country:US
Mailing Address - Phone:914-924-7253
Mailing Address - Fax:
Practice Address - Street 1:1 GENEVA RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-2339
Practice Address - Country:US
Practice Address - Phone:845-278-6130
Practice Address - Fax:845-278-7921
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233732208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics