Provider Demographics
NPI:1154677862
Name:CADET, SHERLEY C (TSLD)
Entity Type:Individual
Prefix:MS
First Name:SHERLEY
Middle Name:C
Last Name:CADET
Suffix:
Gender:F
Credentials:TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2547
Mailing Address - Country:US
Mailing Address - Phone:516-710-0146
Mailing Address - Fax:
Practice Address - Street 1:36 6TH ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2547
Practice Address - Country:US
Practice Address - Phone:516-710-0146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1941340174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist