Individual
DR. CHERYL DENISE ANCRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
230 HILTON AVE, SUITE 203, HEMPSTEAD, NY 11550-8115
(516) 483-8375
(516) 483-8375
Mailing address
230 HILTON AVE, SUITE 203, HEMPSTEAD, NY 11550-8115
(516) 483-8375
(516) 483-8375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01264153
—
NY
Enumeration date
08/11/2005
Last updated
02/29/2016
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