MEDICARE: MRS. SHERIE ANTWANETTE KITCHINGS MS SPED

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	174400000X	Specialist		NY

General Provider Information

NPI Number	:	1346502820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERIE ANTWANETTE KITCHINGS MS SPED

Provider Business Mailing Address
First Line	:	40 LIBERTY DR
Second Line	:
City	:	HIGHLAND MILLS
State	:	NY
Zip	:	10930-3021
Country	:	US
Telephone Number	:	845-893-7865
Fax Number	:

Provider Business Practice Location Address
First Line	:	8102 OVERHILL DR
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3806
Country	:	US
Telephone Number	:	845-290-0188
Fax Number	:

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

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	04/10/2026

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