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Contact Information

JAMES M SHERIDAN, MD
895 WEST JERICHO TURNPIKE
SMITHTOWN, NY11787
 Phone: 631-982-2022
 Fax: 631-982-2024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES M SHERIDAN · (Male)

NPI Number 1326013954
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 158777
  • IL Medicaid 036067905
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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