Provider Demographics
NPI:1952671257
Name:PAOLINO, CHERYL SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SUE
Last Name:PAOLINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4099 ROUTE 145
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12422
Mailing Address - Country:US
Mailing Address - Phone:518-239-8412
Mailing Address - Fax:
Practice Address - Street 1:4099 ROUTE 145
Practice Address - Street 2:DURHAM ELEMENTARY
Practice Address - City:DURHAM
Practice Address - State:NY
Practice Address - Zip Code:12422
Practice Address - Country:US
Practice Address - Phone:518-239-8412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315232-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool