MEDICARE: JENNY CHERIAN DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	356243	NY

General Provider Information

NPI Number	:	1205770948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY CHERIAN DNP

Provider Business Mailing Address
First Line	:	64 SHAWNEE AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-5121
Country	:	US
Telephone Number	:	914-548-7374
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 FORT WASHINGTON AVE FL 11
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3729
Country	:	US
Telephone Number	:	212-305-0114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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