MEDICARE: MICHAEL SHEEHAN

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	207K00000X	Allergy & Immunology Physician	175831	NY

General Provider Information

NPI Number	:	1194717108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SHEEHAN

Provider Business Mailing Address
First Line	:	5793 WIDEWATERS PKWY
Second Line	:	STE 250
City	:	SYRACUSE
State	:	NY
Zip	:	13214-1849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5793 WIDEWATERS PKWY
Second Line	:	STE 250
City	:	SYRACUSE
State	:	NY
Zip	:	13214-1849
Country	:	US
Telephone Number	:	315-478-2339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	03/21/2017

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1780668780 — MARK ALAN WOLGIN M.D.
Practice Location Address:

5719 WIDEWATERS PKWY
SYRACUSE, NY
13214-1985

Practice Phone: 315-251-3100
Practice Fax: 315-449-9923

1831192806 — MARIA I PASNICIUC MD
Practice Location Address:

5794 WIDEWATERS PKWY
SYRACUSE, NY
13214

Practice Phone: 315-422-1513
Practice Fax: 315-422-5890

1033112487 — CHARLES TEITELBAUM MD
Practice Location Address:

5792 WIDEWATERS PKWY STE 101
SYRACUSE, NY
13214-1847

Practice Phone: 315-422-4412
Practice Fax:

1871598805 — MICHAEL T CLARKE MD
Practice Location Address:

5719 WIDEWATERS PKWY
SYRACUSE, NY
13214-1880

Practice Phone: 315-251-3100
Practice Fax: 315-449-9923

1942207261 — DR. JEFFREY S SNEIDER M.D.
Practice Location Address:

215 DEWITT RD
SYRACUSE, NY
13214-2006

Practice Phone: 315-256-5658
Practice Fax:

Directions to “ MICHAEL SHEEHAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.