Individual
CHERYL B WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
35 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2221
(718) 448-0266
(718) 448-3491
Mailing address
35 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2221
(718) 448-0266
(718) 448-3491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040844
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01066908
—
NY
Enumeration date
03/17/2006
Last updated
03/31/2015
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