Individual
DR. BERNADETTE LIZINA SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1222 E 96TH ST, BROOKLYN, NY 11236-3903
(718) 257-3355
Mailing address
1222 E 96TH ST, BROOKLYN, NY 11236-3903
(718) 257-3355
(718) 257-4562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
149698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00778863
—
NY
Enumeration date
08/29/2005
Last updated
01/09/2026
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