Individual
CHERLINE BENOIT JEAN SYRIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10436 196TH ST, SAINT ALBANS, NY 11412-1166
(347) 465-2830
Mailing address
10436 196TH ST, SAINT ALBANS, NY 11412-1166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346962
NY
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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