Michael M. Sheridan,d.o.

NPI #1811189467 in Amsterdam, New York

Provider Information

NPI Number: 1811189467
Entity Type: Organization
Organization Name: Michael M. Sheridan,d.o.
Subpart: Yes (part of a larger organization)
Parent Organization: MICHAEL M. SHERIDAN, D.O.
Primary Specialty: Family Medicine
Enumeration Date: Aug 16, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 5010 STATE HIGHWAY 30
Address 2: SUITE 101
City: Amsterdam
State: New York
ZIP Code: 12010-7532
Phone: (518) 843-5793

Authorized Official

Name: MRS. TINA M BLAKELY
Title: OFFICE MANAGER
Phone: (518) 843-5793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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