Provider Demographics
NPI:1568513190
Name:SHERMAN, FRANK RANDALL (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:RANDALL
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GARDINER PL
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2710
Mailing Address - Country:US
Mailing Address - Phone:631-428-7263
Mailing Address - Fax:
Practice Address - Street 1:10 HEWITT SQ
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2519
Practice Address - Country:US
Practice Address - Phone:631-651-2929
Practice Address - Fax:631-239-5842
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU49670Medicare UPIN
NYX62461Medicare ID - Type UnspecifiedMEDICARE NUMBER