Provider Demographics
NPI:1477823409
Name:CHERI, SHERLEY (RN)
Entity Type:Individual
Prefix:
First Name:SHERLEY
Middle Name:
Last Name:CHERI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-3403
Mailing Address - Country:US
Mailing Address - Phone:631-671-2951
Mailing Address - Fax:
Practice Address - Street 1:29 IRVING AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-3403
Practice Address - Country:US
Practice Address - Phone:631-671-2951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY650193251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health