Individual
DR. SHELDON BRUCE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1185 BROADWAY, HEWLETT, NY 11557-2323
(516) 239-8877
(516) 239-1104
Mailing address
1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
168657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188678
—
NY
Enumeration date
07/24/2006
Last updated
12/03/2021
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