Healthcare Provider Details

I. General information

NPI: 1205770948
Provider Name (Legal Business Name): JENNY CHERIAN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FORT WASHINGTON AVE FL 11
NEW YORK NY
10032-3729
US

IV. Provider business mailing address

64 SHAWNEE AVE
YONKERS NY
10710-5121
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-0114
  • Fax:
Mailing address:
  • Phone: 914-548-7374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356243
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: