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Organization
GRACE FAMILY MEDICAL PRACTICE PC
Active
Organization
GRACE FAMILY MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE LIZINA SHERIDAN MD (MD)
(718) 257-3355
Entity
Organization
Contact information
Practice address
1222 E 96TH ST, 2ND FL, BROOKLYN, NY 11236-3903
(718) 257-3355
(718) 257-4562
Mailing address
1222 E 96TH ST, 2ND FLOOR, BROOKLYN, NY 11236-3903
(718) 257-3355
(718) 257-4562
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
149698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000109940101
HEALTH PLUS
NY
05
—
00778863
—
NY
05
—
03803192
—
NY
01
—
0576775
AETNA HMO
NY
01
—
080412000004
FIDELISCARE
NY
01
—
08P6021
NEW YORK PRESBYTERIAN
—
01
—
0901918
CIGNA
NY
01
—
1000036958
AFFINITY
NY
01
—
1043232143
HEALTHCARE PARTNERS
NY
01
—
115438
GHI HMO
NY
01
—
149698
HIP
NY
01
—
149698-A16
HEALTHFIRST
NY
01
—
160955
ELDER PLAN
NY
01
—
172447
WELLCARE
NY
01
—
1P1174
HEALTHNET
NY
01
—
311913
UNITED HEALTH CARE
NY
01
—
5462A1
EMPIRE BC BS
NY
01
—
5760228
AETNA COM
NY
01
—
5995872
GHI
NY
01
—
P1078363
OXFORD
NY
Enumeration date
07/25/2006
Last updated
01/09/2026
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