Individual
DR. CHERYL L. KURASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
45 ROUTE 25A, SETAUKET, NY 11733-2821
(631) 751-7117
Mailing address
45 ROUTE 25A, SETAUKET, NY 11733-2821
(631) 751-7117
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
007018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003295
GHI PROVIDER NUMBER
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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