Provider Demographics
NPI:1942995634
Name:ERFANI, SHERWIN (PA-C)
Entity Type:Individual
Prefix:
First Name:SHERWIN
Middle Name:
Last Name:ERFANI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6155 98TH ST APT 6C
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5602
Mailing Address - Country:US
Mailing Address - Phone:718-744-7412
Mailing Address - Fax:
Practice Address - Street 1:6155 98TH ST APT 6C
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-5602
Practice Address - Country:US
Practice Address - Phone:718-744-7412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029782363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant