Individual
DIANA SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5690
(518) 773-5620
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 773-5690
(518) 773-5620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
255196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01859278
—
NY
Enumeration date
11/02/2009
Last updated
10/15/2015
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