Provider Demographics
NPI:1598749442
Name:BERMAN, SHELDON S (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:S
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8 PAYNE CIR
Mailing Address - Street 2:
Mailing Address - City:HEWLETT HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2735
Mailing Address - Country:US
Mailing Address - Phone:516-374-4417
Mailing Address - Fax:516-374-0220
Practice Address - Street 1:8 PAYNE CIR
Practice Address - Street 2:
Practice Address - City:HEWLETT HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11557-2735
Practice Address - Country:US
Practice Address - Phone:516-374-4417
Practice Address - Fax:516-374-0220
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1066762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY974501Medicare ID - Type Unspecified