Individual
MISS CHERAY S. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 498-1081
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
628038
NY
163WC0400X
Case Management Registered Nurse
628038
NY
163WC1500X
Community Health Registered Nurse
628038
NY
163WH0200X
Home Health Registered Nurse
628038
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
628038
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
628038
NY
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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