Provider Demographics
NPI:1952547192
Name:CHERY, SHERLINE (NP)
Entity Type:Individual
Prefix:
First Name:SHERLINE
Middle Name:
Last Name:CHERY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHERLINE
Other - Middle Name:
Other - Last Name:CHERY-MORISSET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHERY-MORISSET
Mailing Address - Street 1:60 MADISON AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1600
Mailing Address - Country:US
Mailing Address - Phone:212-545-2439
Mailing Address - Fax:646-312-0481
Practice Address - Street 1:1167 NOSTRAND AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225
Practice Address - Country:US
Practice Address - Phone:718-778-0198
Practice Address - Fax:718-221-8169
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421057363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NYW6L111Medicare Oscar/Certification
NY00695941Medicaid