Sheridan Drive Medical Group Llp

LBN: Sheridan Drive Medical Group Llp
Sheridan Drive Medical Group Llp is an health care organization with primary practice located at 1491 Sheridan Dr , Tonawanda NY 14217-1234. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Sheridan Drive Medical Group Llp can be contacted via phone (716) 332-4476, or through Campagna, Anne Elizabeth via phone (716) 332-4476.

Contact Information

Primary practice address
1491 Sheridan Dr Tonawanda NY 14217-1234
Phone: (716) 332-4476
Fax: (716) 332-4479
Website:
Map and Directions
Authorized official contact:
Name: Campagna, Anne Elizabeth
Phone: (716) 332-4476

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 183745 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 183745 New York

Profile Details

NPI number 1679684625
LBN Legal business name Sheridan Drive Medical Group Llp
DBA Doing business as
Authorized official Campagna, Anne Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679684625 NPPES
New York MEDICAID 01345179

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