Provider Demographics
NPI:1952402968
Name:BERIZIN, SHERYL (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:
Last Name:BERIZIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PIONEER TRL
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1500
Mailing Address - Country:US
Mailing Address - Phone:914-273-4315
Mailing Address - Fax:845-364-2628
Practice Address - Street 1:50 SANITORIUM RD
Practice Address - Street 2:BUILDING D
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3555
Practice Address - Country:US
Practice Address - Phone:845-364-2512
Practice Address - Fax:845-364-2628
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0381751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice