Individual
SHERRI ZEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
65 YORK STREET, GLASCO, NY 12432-0287
(845) 389-3823
(845) 485-9927
Mailing address
PO BOX 287, GLASCO, NY 12432-0287
(845) 389-3823
(845) 485-9927
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
219514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841287190
—
NY
Enumeration date
05/10/2018
Last updated
05/10/2018
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