Provider Demographics
NPI:1841610235
Name:CHERIAN, SIBYL MARIE (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SIBYL
Middle Name:MARIE
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 266TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1537
Mailing Address - Country:US
Mailing Address - Phone:516-279-8215
Mailing Address - Fax:
Practice Address - Street 1:8028 266TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1537
Practice Address - Country:US
Practice Address - Phone:516-279-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist