Basic Information
| Provider Information | |||||||||
| NPI: | 1093338790 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHERMANSKI | ||||||||
| FirstName: | GABRIELLE | ||||||||
| MiddleName: | TERESA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 190 WELLES ST STE 128 | ||||||||
| Address2: | |||||||||
| City: | FORTY FORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187044961 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5707146657 | ||||||||
| FaxNumber: | 5702147342 | ||||||||
| Practice Location | |||||||||
| Address1: | 190 WELLES ST STE 198 | ||||||||
| Address2: | |||||||||
| City: | FORTY FORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187044968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5707146420 | ||||||||
| FaxNumber: | 5707146601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2020 | ||||||||
| LastUpdateDate: | 01/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 170300000X | GC000619 | PA | Y | Other Service Providers | Genetic Counselor, MS |
No ID Information.