Individual
BILLIE SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DRIVE, MANHASSET, NY 11030-4122
(516) 562-0100
Mailing address
64-67 58TH RD, MASPETH, NY 11378-3585
(646) 533-1373
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421242-1
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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