Provider Demographics
NPI:1629339452
Name:SHERMAN, DONNA SUE
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:SUE
Last Name:SHERMAN
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 1:1304 MIDLAND AVE
Mailing Address - Street 2:APT C22
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1453
Mailing Address - Country:US
Mailing Address - Phone:914-227-1893
Mailing Address - Fax:
Practice Address - Street 1:1304 MIDLAND AVE
Practice Address - Street 2:APT C22
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1453
Practice Address - Country:US
Practice Address - Phone:914-227-1893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist