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Organization
MICHAEL M. SHERIDAN,D.O.
Active
Organization
MICHAEL M. SHERIDAN,D.O.
Active
Parent organization
MICHAEL M. SHERIDAN, D.O.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL M. SHERIDAN, D.O.
Authorized official
MRS. TINA M BLAKELY (OFFICE MANAGER)
(518) 843-5793
Entity
Organization
Contact information
Practice address
5010 STATE HIGHWAY 30, SUITE 101, AMSTERDAM, NY 12010-7532
(518) 843-5793
(518) 843-6513
Mailing address
5010 STATE HIGHWAY 30, SUITE 101, AMSTERDAM, NY 12010-7532
(518) 843-5793
(518) 843-6513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
165622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170667
—
NY
Enumeration date
08/16/2007
Last updated
08/16/2007
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