Individual
BRIAN JAMES SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6000
Mailing address
25 WALDEN AVE, JERICHO, NY 11753-2636
(516) 582-6641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029767
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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