Healthcare Provider Details

I. General information

NPI: 1477934917
Provider Name (Legal Business Name): LYNDSEY EVE CHERNICK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNDSEY EVE SONKIN NP

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 MERRICK RD SUITE 402
ROCKVILLE CENTRE NY
11570-5254
US

IV. Provider business mailing address

242 MERRICK RD SUITE 402
ROCKVILLE CENTRE NY
11570-5254
US

V. Phone/Fax

Practice location:
  • Phone: 516-763-2800
  • Fax:
Mailing address:
  • Phone: 516-763-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number339656
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: