Provider Demographics
NPI:1609928266
Name:SHERIDAN, MARGARET ANN (MA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:SHERIDAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 E 4TH ST
Mailing Address - Street 2:APT 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-7206
Mailing Address - Country:US
Mailing Address - Phone:212-562-3501
Mailing Address - Fax:
Practice Address - Street 1:577 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6404
Practice Address - Country:US
Practice Address - Phone:212-263-2751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program