Provider Demographics
NPI:1588603260
Name:DOYLE, CHERYL J (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:J
Last Name:DOYLE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:195 WILLOUGHBY AVE APT 1212
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3833
Mailing Address - Country:US
Mailing Address - Phone:718-636-8746
Mailing Address - Fax:718-625-6735
Practice Address - Street 1:185 MONTAGUE ST FL 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-636-8746
Practice Address - Fax:718-625-6735
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2018-07-10
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Provider Licenses
StateLicense IDTaxonomies
NY1338462080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00856717Medicaid
NY21D891Medicare PIN
NY00856717Medicaid