Provider Demographics
NPI:1396288940
Name:SHEFLIN MEDICAL GROUP
Entity type:Organization
Organization Name:SHEFLIN MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-791-5800
Mailing Address - Street 1:15 MUNRO BLVD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3304
Mailing Address - Country:US
Mailing Address - Phone:516-791-5800
Mailing Address - Fax:516-837-3999
Practice Address - Street 1:15 MUNRO BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3304
Practice Address - Country:US
Practice Address - Phone:516-791-5800
Practice Address - Fax:516-837-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty