Healthcare Provider Details

I. General information

NPI: 1952547192
Provider Name (Legal Business Name): SHERLINE CHERY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERLINE CHERY-MORISSET CHERY-MORISSET

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 10/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1167 NOSTRAND AVENUE
BROOKLYN NY
11225
US

IV. Provider business mailing address

60 MADISON AVE 5TH FLOOR
NEW YORK NY
10010-1600
US

V. Phone/Fax

Practice location:
  • Phone: 718-778-0198
  • Fax: 718-221-8169
Mailing address:
  • Phone: 212-545-2439
  • Fax: 646-312-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421057
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: