Individual
CHERYL CHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 E RAYMOND AVE, ROOSEVELT, NY 11575-1114
(347) 300-9142
Mailing address
21 E RAYMOND AVE, ROOSEVELT, NY 11575-1114
(347) 300-9142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330458
NY
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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