Provider Demographics
NPI:1679778922
Name:DEO, SHEETAL SANMEET (DO)
Entity type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:SANMEET
Last Name:DEO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHEETAL
Other - Middle Name:SRICHAND
Other - Last Name:SIDHWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:21165 23RD AVE
Mailing Address - Street 2:#1H
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1947
Mailing Address - Country:US
Mailing Address - Phone:516-728-2788
Mailing Address - Fax:
Practice Address - Street 1:131 E 31ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6803
Practice Address - Country:US
Practice Address - Phone:212-596-4360
Practice Address - Fax:212-966-2378
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255073208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation