Provider Demographics
NPI:1629461561
Name:REMINGTON, CHERYL ALYSON
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ALYSON
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HAWTHORNE PL
Mailing Address - Street 2:4B
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3229
Mailing Address - Country:US
Mailing Address - Phone:973-519-3709
Mailing Address - Fax:973-744-4138
Practice Address - Street 1:36 HAWTHORNE PL
Practice Address - Street 2:4B
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3229
Practice Address - Country:US
Practice Address - Phone:973-519-3709
Practice Address - Fax:973-744-4138
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY614856-1163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation