Provider Demographics
NPI:1891832432
Name:LIBRAMONTE, CHERRY ELAINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:ELAINE
Last Name:LIBRAMONTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7204
Mailing Address - Country:US
Mailing Address - Phone:718-339-3297
Mailing Address - Fax:
Practice Address - Street 1:1590 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7204
Practice Address - Country:US
Practice Address - Phone:718-339-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050669-11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics