# SHELDON MED-SURGE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437302403
- **Authorized official:** DR. SHELDON LEONARD SIROTA D.O. (PRESIDENT)
- **Authorized official phone:** (516) 791-1593

## Contact information

- **Practice address:** 30 E SUNRISE HWY, VALLEY STREAM, NY 11581-1220
- **Practice address phone:** (516) 791-1593
- **Practice address fax:** (516) 791-5836
- **Mailing address:** 30 E SUNRISE HWY, VALLEY STREAM, NY 11581-1220
- **Mailing address phone:** (516) 791-1593
- **Mailing address fax:** (516) 791-5836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 092991 | NY | Yes |

## Other

- **Enumeration date:** 11/03/2008
- **Last updated:** 01/13/2011
