| Doctor Name: | CHERYL E. ERNST |
| NPI Number: | 1255678702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 337706 |
| Business Practice Address: | 14 Vista Blvd Slingerlands, NY - 121592184 |
| Business Phone Number: | 5184595273 |
| Business Fax Number: | 5184895790 |
| Mailing Address: | 711 Troy Schenectady Rd, Suite 201 LATHAM |
| State: | NY |
| Postal Code: | 121102442 |
| Phone Number: | 5187823700 |
| Fax Number: | 5187823799 |
| NPI Enumeration Date: | 01/03/2013 |
| NPI Last Update Date: | 12/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 337706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |