Provider Demographics
NPI:1497077804
Name:CHEREN, DAVID H (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:CHEREN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BRIANNA LN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-6345
Mailing Address - Country:US
Mailing Address - Phone:914-245-8044
Mailing Address - Fax:914-245-8045
Practice Address - Street 1:725 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1811
Practice Address - Country:US
Practice Address - Phone:914-693-9191
Practice Address - Fax:914-693-1231
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist