Healthcare Provider Details

I. General information

NPI: 1306837950
Provider Name (Legal Business Name): SHERYL SALERNO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PARK ST GLENS FALLS HOSPITAL NEUROLOGY
GLENS FALLS NY
12801-4413
US

IV. Provider business mailing address

PO BOX 304 ADIRONDACK MEDICAL SERVICES
GLENS FALLS NY
12801-0304
US

V. Phone/Fax

Practice location:
  • Phone: 518-926-2940
  • Fax: 518-926-2941
Mailing address:
  • Phone: 518-926-6992
  • Fax: 518-926-6983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number334569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: