Provider Demographics
NPI:1598106262
Name:KORYCINSKI, SHERI (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:KORYCINSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:
Other - Last Name:D'ANGELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:23 FABIAN LN
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13209-1452
Mailing Address - Country:US
Mailing Address - Phone:315-447-4040
Mailing Address - Fax:
Practice Address - Street 1:2329 JAMES ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-2840
Practice Address - Country:US
Practice Address - Phone:315-437-0893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057918-1183500000X
FLPS42715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist