Provider Demographics
NPI:1669675112
Name:SHERMAN, ROSALYN MONA (PHD)
Entity type:Individual
Prefix:
First Name:ROSALYN
Middle Name:MONA
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 WEST 81ST
Mailing Address - Street 2:#2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7216
Mailing Address - Country:US
Mailing Address - Phone:212-877-3772
Mailing Address - Fax:212-496-1017
Practice Address - Street 1:154 WEST 70 ST
Practice Address - Street 2:#7E
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-743-6171
Practice Address - Fax:212-496-1017
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0149901103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical