| Doctor Name: | CHERYL SPARKS |
| NPI Number: | 1184727653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | F3034691 |
| Business Practice Address: | 5010 St Hwy 30 Suite 101 Amsterdam, NY - 12010 |
| Business Phone Number: | 5188434356 |
| Business Fax Number: | 5188436513 |
| Mailing Address: | 5010 St Hwy 30, Suite 101 AMSTERDAM |
| State: | NY |
| Postal Code: | 12010 |
| Phone Number: | 5188434356 |
| Fax Number: | 5188436513 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F3034691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |