Provider Demographics
NPI:1265542666
Name:PUTTERMAN, SHERRI E (MD)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:E
Last Name:PUTTERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 OLD COUNTRY RD
Mailing Address - Street 2:SUITE650
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4235
Mailing Address - Country:US
Mailing Address - Phone:516-747-0105
Mailing Address - Fax:516-280-2612
Practice Address - Street 1:200 OLD COUNTRY RD
Practice Address - Street 2:SUITE650
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4235
Practice Address - Country:US
Practice Address - Phone:516-747-0105
Practice Address - Fax:516-280-2612
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY216561207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY160059079OtherRR MEDICARE
NY2201313OtherUNITED HEALTHCARE
NY262689012OtherMAGNACARE
NY5761570OtherAETNA PPO/POS
NY569C81OtherBLUE CHOICE
NYAA71968OtherMDNY
NY139729OtherVYTRA
NY569C81OtherEMPIRE PLAN
NY4362852003OtherCIGNA
NY0298085OtherGHI
NYP2651014OtherOXFORD
NY262689012OtherHORIZON
NY3009121OtherAETNA HMO
NY71558OtherGHI HMO
NY21221275528OtherBEECH STREET
NY21221275528OtherSELECT PRO
NY262689012OtherMULTIPLAN
NY3C4973OtherPHS (HEALTHNET)
NYH73691Medicare UPIN
NY578D61Medicare ID - Type Unspecified