Individual
SELMA SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W 7TH ST, OSWEGO, NY 13126-3676
(315) 343-9022
(315) 342-4906
Mailing address
209 W 7TH ST, OSWEGO, NY 13126-3676
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
132758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554476
—
NY
Enumeration date
06/20/2006
Last updated
07/08/2007
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