Individual
CHERYL A BREWER-JADYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
17 BLACKPINE DR, MEDFORD, NY 11763-4102
(631) 207-9137
Mailing address
17 BLACKPINE DR, MEDFORD, NY 11763-4102
(631) 207-9137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
674878
NY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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