Provider Demographics
NPI:1477782357
Name:STONE, SHERI (FNP-C)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 BRENNAN RD
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13084-9548
Mailing Address - Country:US
Mailing Address - Phone:315-391-6102
Mailing Address - Fax:757-432-3331
Practice Address - Street 1:2741 BRENNAN RD
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:NY
Practice Address - Zip Code:13084-9548
Practice Address - Country:US
Practice Address - Phone:315-391-6102
Practice Address - Fax:757-432-3331
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03126134Medicaid
NYJ400080923Medicare PIN