Provider Demographics
NPI:1770923732
Name:SHERMAN, SUZANNE WALTER (OD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:WALTER
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:635 W 165TH STREET
Mailing Address - Street 2:HARKNESS EYE INSTITUTE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-6709
Mailing Address - Fax:212-305-5523
Practice Address - Street 1:635 W 165TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3724
Practice Address - Country:US
Practice Address - Phone:212-305-9535
Practice Address - Fax:212-305-5523
Is Sole Proprietor?:No
Enumeration Date:2013-07-04
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008003-1152W00000X
NYTUV008003207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No152W00000XEye and Vision Services ProvidersOptometrist