Individual
MARTIN SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
107 RIDGE RD, VALLEY COTTAGE, NY 10989-2466
(845) 770-4686
Mailing address
107 RIDGE RD, VALLEY COTTAGE, NY 10989-2466
(845) 770-4686
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
46107101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46107101
LICENSE
NY
Enumeration date
10/04/2022
Last updated
10/04/2022
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