Individual
DOMINIC SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
450 SUNRISE HWY, ROCKVILLE CENTRE, NY 11570-5053
(646) 280-5754
Mailing address
175 W 90TH ST APT 19F, NEW YORK, NY 10024-1253
(201) 238-7199
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F310931-01
NY
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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