Chery-Quiles, Mildred Maurissa

Chery-Quiles, Mildred Maurissa is an individual health care provider with primary practice located at 13518 123Rd St , South Ozone Park NY 11420-3725. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Chery-Quiles, Mildred Maurissa can be contacted via phone (516) 236-5213.

Contact Information

Primary practice address
13518 123Rd St South Ozone Park NY 11420-3725
Phone: (516) 236-5213
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 305625-1 New York

Profile Details

NPI number 1356634596
LBN Legal business name Chery-Quiles, Mildred Maurissa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Aug 25th, 2011 - about 15 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 1356634596 NPPES
New York MEDICAID 305625-1

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