Provider Demographics
NPI:1760104277
Name:SHERRILL, CHLOE LOUISE STINETORF (MA)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:LOUISE STINETORF
Last Name:SHERRILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:LOUISE
Other - Last Name:STINETORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 PROSPECT PARK W APT 14C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-7801
Mailing Address - Country:US
Mailing Address - Phone:510-872-6390
Mailing Address - Fax:
Practice Address - Street 1:142 JORALEMON ST STE 3E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4709
Practice Address - Country:US
Practice Address - Phone:718-935-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program