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Individual

CHERISSE N BELLEVUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11451 226TH ST, CAMBRIA HEIGHTS, NY 11411-1318
(646) 641-6496
Mailing address
11451 226TH ST, CAMBRIA HEIGHTS, NY 11411-1318
(646) 641-6496

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628306
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
628306
RN LICENSE
NY
Enumeration date
09/08/2010
Last updated
09/08/2010
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