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NPI Code Detail

MEDICARE: CHEREEN MADDEN-GRANT

MEDICARE:   CHEREEN  MADDEN-GRANT
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
1163W00000XRegistered Nurse652728NY

General Provider Information

NPI Number : 1881165330
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEREEN MADDEN-GRANT
Provider Business Mailing Address
First Line : 1028 ROUTE 211 W
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1028 ROUTE 211 W
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940
Country : US
Telephone Number : 646-342-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2018
Last Update Date : 12/10/2018

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Directions to “ CHEREEN MADDEN-GRANT ” Practice Location

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