Individual
MRS. CATHY L. SHEREDOS-FUNFGELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
216 GARDNER AVE, JERICHO, NY 11753-2463
(516) 938-3622
(212) 563-0605
Mailing address
216 GARDNER AVE, JERICHO, NY 11753-2463
(516) 938-3622
(212) 563-0605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
007659
NY
Other
Enumeration date
11/17/2006
Last updated
07/09/2007
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