Individual
JOHN PAUL SHEEHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MEDICAL PLZ, ROOM 301, GLEN COVE, NY 11542-2193
(516) 676-7116
(516) 676-6249
Mailing address
35 WEIR LN, LOCUST VALLEY, NY 11560-1625
(516) 671-7942
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
133054-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00424117
—
NY
Enumeration date
07/06/2006
Last updated
07/08/2007
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