Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2080A0000X | Pediatrics | Adolescent Medicine | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 02094695 | MEDICAID | NEW YORK | |
| 2 | 349679 | OTHER | | MVP DAVID SHERWOOD MD |
| 3 | 000401569001 | OTHER | | BS HENRY NEILLEY MD |
| 4 | 1007 | OTHER | | CDPHP GROUP |
| 5 | 964787 | OTHER | | MVP SHEELA GRANEY MD |
| 6 | 000401387001 | OTHER | | BS WILLIAM A PETERSEN MD |
| 7 | 01332856 | MEDICAID | NEW YORK | |
| 8 | 10044836 | OTHER | | CDPHP DAVID SHERWOOD MD |
| 9 | 00392741 | MEDICAID | NEW YORK | |
| 10 | 000401340001 | OTHER | | BS SHEELA GRANEY MD |
| 11 | 01260746 | MEDICAID | NEW YORK | |
| 12 | 10001463 | OTHER | | CDPHP HENRY NEILLEY MD |
| 13 | 10002804 | OTHER | | CDPHP WM A PETERSEN MD |
| 14 | 10021167 | OTHER | | CDPHP SHEELA GRANEY MD |
| 15 | 26207 | OTHER | | MVP HENRY NEILLEY MD |
| 16 | 26208 | OTHER | | MVP WILLIAM A PETERSEN MD |
| 17 | 10002139 | OTHER | | CDPHP MARYLA WARSZAWA-AMB |
| 18 | 26210 | OTHER | | MVP MARYLA WARSZAWA-AMB |
| 19 | 00962767 | MEDICAID | NEW YORK | |
| 20 | 01762674 | MEDICAID | NEW YORK | |
