Individual
REBECCA ANN CHERCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
52 MEADOWS ST, PEARL RIVER, NY 10965-1912
(212) 980-4294
Mailing address
3053 23RD ST, LONG ISLAND CITY, NY 11102-4248
(914) 960-3637
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
311160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311160
NEW YORK STATE
NY
Enumeration date
02/01/2023
Last updated
02/01/2023
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