Healthcare Provider Details

I. General information

NPI: 1336515535
Provider Name (Legal Business Name): SONYA CHERIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1896 ROUTE 6
CARMEL NY
10512-2355
US

IV. Provider business mailing address

15 DUNN LN
POUGHQUAG NY
12570-5607
US

V. Phone/Fax

Practice location:
  • Phone: 845-225-6189
  • Fax:
Mailing address:
  • Phone: 845-417-7169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number060612
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: