Provider Demographics
NPI:1114976313
Name:SHERIF, SHERIF (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERIF
Middle Name:
Last Name:SHERIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:
Practice Address - Street 1:295 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8216
Practice Address - Country:US
Practice Address - Phone:716-857-8646
Practice Address - Fax:716-250-5902
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170533-1207RC0200X
NY170523-1207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY170533-4WOtherWORKERS COMPENSATION
NY290012161OtherRR MEDICARE
NY2806954OtherIHA
NY00010164402OtherUNIVERA
NY161000580OtherNORTH AMERICAN PREFERRED
NY0021748OtherGHI
NY161000580OtherEMPIRE
NY01247410Medicaid
NY161000580OtherNOVA
NY000511155006OtherHEALTH NOW
NY161000580OtherNOVA
NYBB6747Medicare PIN