Provider Demographics
NPI:1477821643
Name:MCCHESNEY, SHERRY (COTA)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MCCHESNEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ULSTERVILLE RD PO BOX 899
Mailing Address - Street 2:PINE BUSH ELEMENTARY SCHOOL
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566
Mailing Address - Country:US
Mailing Address - Phone:845-744-2031
Mailing Address - Fax:
Practice Address - Street 1:ULSTERVILLE RD
Practice Address - Street 2:PINE BUSH ELEMENTARY SCHOOL
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566
Practice Address - Country:US
Practice Address - Phone:845-744-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004820-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant