Provider Demographics
NPI:1760926422
Name:SWEENEY, CHERYL (RN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:30 WORDEN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-3409
Mailing Address - Country:US
Mailing Address - Phone:518-386-4312
Mailing Address - Fax:518-346-0855
Practice Address - Street 1:30 WORDEN RD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-3409
Practice Address - Country:US
Practice Address - Phone:518-386-4312
Practice Address - Fax:518-346-0855
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY707157163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse