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NPI Code Detail

MEDICARE: SHERYL CLEGHORN-WRIGHT

MEDICARE: SHERYL CLEGHORN-WRIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1811679632
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL CLEGHORN-WRIGHT
Provider Business Mailing Address
First Line : 2526 TIEMANN AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-6112
Country : US
Telephone Number : 917-449-0204
Fax Number :
Provider Business Practice Location Address
First Line : 2526 TIEMANN AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-6112
Country : US
Telephone Number : 917-449-0204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 08/01/2023

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