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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