Provider Demographics
NPI:1972729499
Name:SHERBANY, ARIEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:
Last Name:SHERBANY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-8195
Mailing Address - Country:US
Mailing Address - Phone:845-627-0723
Mailing Address - Fax:845-627-1009
Practice Address - Street 1:55 OLD NYACK TURNPIKE
Practice Address - Street 2:SUITE #101
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2449
Practice Address - Country:US
Practice Address - Phone:845-627-0723
Practice Address - Fax:845-627-1009
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1476382084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology