Provider Demographics
NPI:1811137987
Name:BENDER, SHERRY E (PT)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:E
Last Name:BENDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:BENDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:506 E 11 STREET #1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4600
Mailing Address - Country:US
Mailing Address - Phone:212-260-6929
Mailing Address - Fax:
Practice Address - Street 1:506 E 11 STREET #1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-4600
Practice Address - Country:US
Practice Address - Phone:212-260-6929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010706-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist