Individual
RICKY CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 E MAIN ST # 1, SMITHTOWN, NY 11787-2879
(631) 360-7578
(631) 360-7687
Mailing address
161 E MAIN ST # 1, SMITHTOWN, NY 11787-2879
(631) 360-7578
(631) 360-7687
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
CRPA-5298
NY
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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