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Individual

IAN A SHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGPCNP-BC

Contact information

Practice address
63 SHAKER RD STE 102, ALBANY, NY 12204-1030
(518) 429-2561
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
308177
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308177
NY

Other

Enumeration date
11/09/2017
Last updated
04/04/2022
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