MEDICARE: SHELDON MEDICAL CARE,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1013900463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELDON MEDICAL CARE,PC

Provider Business Mailing Address
First Line	:	115 BRAMBLEBROOK RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2206
Country	:	US
Telephone Number	:	718-220-7677
Fax Number	:	718-220-7679

Provider Business Practice Location Address
First Line	:	2435 JEROME AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-6402
Country	:	US
Telephone Number	:	718-220-7677
Fax Number	:	718-220-7679

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TUSHAR L SHAH
Credential	:	MD
Telephone Number	:	718-220-7677

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	02/27/2008

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