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Individual

MS. CHERYL N CAPEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
57 LAKESIDE AVENUE, LAKE GROVE, NY 11755-1801
(631) 737-0569
Mailing address
57 LAKESIDE AVENUE, LAKE GROVE, NY 11755-1801
(631) 737-0569

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
346140-1
NY

Other

Enumeration date
11/21/2008
Last updated
11/21/2008
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