Provider Demographics
NPI:1376913814
Name:URCZYK, SHERYL (RN)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:URCZYK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:
Other - Last Name:NIENBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 MAIN ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1156
Mailing Address - Country:US
Mailing Address - Phone:716-282-1228
Mailing Address - Fax:716-282-1238
Practice Address - Street 1:1001 11TH ST
Practice Address - Street 2:TROTT ACCESS CENTER
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1201
Practice Address - Country:US
Practice Address - Phone:716-278-8110
Practice Address - Fax:716-278-8111
Is Sole Proprietor?:No
Enumeration Date:2015-09-27
Last Update Date:2015-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY673512-1163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)