Individual
CHERRYLENE RODRIGO CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN- RN
Contact information
Practice address
16 HASBROUCK ROAD, APT. C, GARNERVILLE, NY 10923
(845) 942-8570
Mailing address
16 HASBROUCK ROAD, APT. C, GARNERVILLE, NY 10923
(845) 942-8570
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
510221-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02863789
—
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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