Provider Demographics
NPI:1932452570
Name:ECCLES, CHERYL-ANN (RN)
Entity Type:Individual
Prefix:
First Name:CHERYL-ANN
Middle Name:
Last Name:ECCLES
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 1:535 WEST 116TH ST.
Mailing Address - Street 2:COLUMBIA UNIVERSITY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:866-551-9700
Mailing Address - Fax:212-947-7625
Practice Address - Street 1:535 W 116TH ST.
Practice Address - Street 2:COLUMBIA UNIVERSITY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-342-3884
Practice Address - Fax:212-947-7625
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study