Doctor Name: | PATRICIA DORIS CHERASARD |
NPI Number: | 1104889666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 006429 |
Business Practice Address: | 157 E Woodside Ave Patchogue, NY - 117721423 |
Business Phone Number: | 8778725788 |
Business Fax Number: | 8666987272 |
Mailing Address: | 157 E Woodside Ave, PATCHOGUE |
State: | NY |
Postal Code: | 117721423 |
Phone Number: | 6314751900 |
Fax Number: | 6314751955 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 006429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |