Sheridan, Emmanuelle

Sheridan, Emmanuelle is an sole proprietor health care provider with primary practice located at 102 Fountain Ave , Selden NY 11784-1908. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Sheridan, Emmanuelle can be contacted via phone (516) 983-2263.

Contact Information

Primary practice address
102 Fountain Ave Selden NY 11784-1908
Phone: (516) 983-2263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 6155301 New York
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 6155301 New York

Profile Details

NPI number 1396393633
LBN Legal business name Sheridan, Emmanuelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2019
Last updated Aug 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396393633 NPPES
New York MEDICAID 6155301
New York MEDICAID 05

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