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Individual

RICHARD G SHERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1340 WASHINGTON ST, WATERTOWN, NY 13601-4541
(315) 782-9003
(315) 782-9010
Mailing address
PO BOX 493, SACKETS HARBOR, NY 13685-0493
(540) 597-8469

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
37675
KY
2085R0202X
Diagnostic Radiology Physician
0101-242529
VA
2085R0202X
Diagnostic Radiology Physician
Primary
126687
NY
2085R0202X
Diagnostic Radiology Physician
37675
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200427120
IN
05
3810010288
WV
05
64057748
KY
Enumeration date
06/13/2005
Last updated
04/29/2016
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