Individual
CHERYL GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
880 BERGEN ST, BROOKLYN, NY 11238-3301
(718) 613-7510
(718) 613-7564
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26144301
NY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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