Healthcare Provider Details

I. General information

NPI: 1891626396
Provider Name (Legal Business Name): SHERINE LUGO CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 CHAPIN AVE
NIAGARA FALLS NY
14301-2702
US

IV. Provider business mailing address

3510 CHAPIN AVE
NIAGARA FALLS NY
14301-2702
US

V. Phone/Fax

Practice location:
  • Phone: 347-819-6587
  • Fax:
Mailing address:
  • Phone: 347-819-6587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberG5P8S6T2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: