Individual
PATRICIA DORIS CHERASARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
157 E WOODSIDE AVE, PATCHOGUE, NY 11772-1423
(877) 872-5788
(866) 698-7272
Mailing address
157 E WOODSIDE AVE, PATCHOGUE, NY 11772-1423
(631) 475-1900
(631) 475-1955
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00391197
RAILROAD MEDICARE
NY
Enumeration date
04/07/2006
Last updated
03/08/2021
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