Provider Demographics
NPI:1043363021
Name:DURDEN, CHERI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:
Last Name:DURDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 30TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-2913
Mailing Address - Country:US
Mailing Address - Phone:718-545-2711
Mailing Address - Fax:718-545-2712
Practice Address - Street 1:4111 30TH AVE STE C
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-2913
Practice Address - Country:US
Practice Address - Phone:718-545-2711
Practice Address - Fax:718-545-2712
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194283207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine