Cherniak, Gary

Cherniak, Gary is an sole proprietor health care provider with primary practice located at 5100 Marna Lynn Ave Nw Petroglyph Es, Albuquerque NM 87114-5701. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Cherniak, Gary can be contacted via phone (505) 898-0923.

Contact Information

Primary practice address
5100 Marna Lynn Ave Nw Petroglyph Es Albuquerque NM 87114-5701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1317 New Mexico

Profile Details

NPI number 1003953324
LBN Legal business name Cherniak, Gary
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003953324 NPPES
New Mexico MEDICAID J 9888

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