Individual
CHERYL HERCULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8954 209TH ST, QUEENS VILLAGE, NY 11427-2223
(917) 942-0648
Mailing address
8954 209TH ST, QUEENS VILLAGE, NY 11427-2223
(917) 942-0648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
235626502
NY
Other
Enumeration date
06/13/2014
Last updated
04/06/2017
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