Individual
CERISE ALTHEA CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 WHITE OAK ST, NEW ROCHELLE, NY 10801-1706
(914) 309-3316
Mailing address
31 WHITE OAK ST, NEW ROCHELLE, NY 10801-1706
(914) 309-3316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
687730
NY
163WH1000X
Hospice Registered Nurse
687730
NY
164W00000X
Licensed Practical Nurse
2810971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02681923
—
NY
Enumeration date
12/10/2009
Last updated
04/27/2021
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