Individual
CHERYL SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER, AMSTERDAM, NY 12010-7520
(518) 843-4356
(518) 843-6513
Mailing address
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER, AMSTERDAM, NY 12010-7520
(518) 843-4356
(518) 843-6513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3034691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401398001
DSNENY
—
05
—
01170667
—
NY
01
—
08230
MVP
—
01
—
10001883
CDPHP
—
01
—
547811
BLUE CHOICE
—
Enumeration date
09/07/2006
Last updated
06/16/2016
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