Healthcare Provider Details

I. General information

NPI: 1760319206
Provider Name (Legal Business Name): CHERYL MACIORAKOWSKI RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MAPLE STREET
FLORENCE MA
01062-1233
US

IV. Provider business mailing address

PO BOX 702
CONWAY MA
01341-0702
US

V. Phone/Fax

Practice location:
  • Phone: 978-870-5870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: