Individual
DR. MARTIN PAUL SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
193 BROADWAY, AMITYVILLE, NY 11701-2761
(631) 598-2211
(631) 691-2310
Mailing address
193 BROADWAY, BOX 568, AMITYVILLE, NY 11701-2761
(631) 598-2211
(631) 691-2310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
128233
NY
207NP0225X
Pediatric Dermatology Physician
128233
NY
207NS0135X
Procedural Dermatology Physician
128233
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770338
—
NY
Enumeration date
03/07/2007
Last updated
02/20/2008
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