Organization
ACTIVE MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNAN S SHEIK MD (OWNER)
(215) 593-5484
Entity
Organization
Contact information
Practice address
275 N MIDDLETOWN RD STE 1F, PEARL RIVER, NY 10965
(914) 376-6100
(914) 231-6872
Mailing address
275 N MIDDLETOWN RD STE 1F, PEARL RIVER, NY 10965-1189
(914) 376-6100
(914) 231-6872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
06/05/2018
Last updated
11/12/2018
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