Provider Demographics
NPI:1215373444
Name:PURRIER, SHERYL ANNA-KAY (MD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANNA-KAY
Last Name:PURRIER
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 1:430 CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1313
Mailing Address - Country:US
Mailing Address - Phone:718-687-0388
Mailing Address - Fax:
Practice Address - Street 1:430 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1313
Practice Address - Country:US
Practice Address - Phone:203-688-2896
Practice Address - Fax:203-688-5426
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT636712080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program