Individual
DR. CHERYL DIANNE MEDDLES-TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP, ENP
Contact information
Practice address
1 KINGS HWY, HAUPPAUGE, NY 11788-4216
(631) 348-1919
Mailing address
26350 MAIN RD, CUTCHOGUE, NY 11935-1278
(516) 993-7595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F335902-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03292284
—
NY
Enumeration date
06/16/2009
Last updated
08/10/2020
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