Individual
SAMANTHA LAI SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 HUDSON AVE APT 2, ALBANY, NY 12210-1804
(603) 748-2279
Mailing address
330 HUDSON AVE APT 2, ALBANY, NY 12210-1804
(603) 748-2279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01091485A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2022
Last updated
09/14/2023
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