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NPI Code Detail

MEDICARE: SHERRY H KESDEN MD

MEDICARE:   SHERRY H KESDEN  MD
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
1207W00000XOphthalmology Physician134728NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780609388
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY H KESDEN MD
Provider Business Mailing Address
First Line : 865 MERRICK AVENUE
Second Line : SUITE 80N
City : WESTBURY
State : NY
Zip : 11590
Country : US
Telephone Number : 516-804-5200
Fax Number : 516-240-6540
Provider Business Practice Location Address
First Line : 649 BROADWAY
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-2313
Country : US
Telephone Number : 516-798-1411
Fax Number : 516-798-0362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 02/19/2015

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