Individual
MRS. CHERYL RICELYN CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(718) 761-9800
(718) 761-1643
Mailing address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(718) 761-9800
(718) 370-1142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
053623-1
NY
Other
Enumeration date
04/12/2009
Last updated
03/26/2015
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