Provider Information for 1467787259
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Mr. IAN CHRISTIAN SHERMAN LCSW
Sex: Male
NPI: 1467787259
Last Updated: 2009-10-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1467787259 | ||||||||
| Enumeration Date | 2009-10-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 50 BRIGHTON 1ST RD 16D BROOKLYN, NY 11235-8149 United States Phone: 516-849-2152 | Fax: | ||||||||
| Primary Practice Address | 50 BRIGHTON 1ST RD 16D BROOKLYN, NY 11235-8149 United States Phone: 516-849-2152 | Fax: | ||||||||
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