Meddles-Torres, Cheryl Dianne

Meddles-Torres, Cheryl Dianne is an sole proprietor health care provider with primary practice located at 1 Kings Hwy , Hauppauge NY 11788-4216. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Meddles-Torres, Cheryl Dianne can be contacted via phone (631) 348-1919.

Contact Information

Primary practice address
1 Kings Hwy Hauppauge NY 11788-4216
Phone: (631) 348-1919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335902-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402505 New York

Profile Details

NPI number 1295962454
LBN Legal business name Meddles-Torres, Cheryl Dianne
Credentials FNP, PMHNP, ENP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Aug 10th, 2020 - about 6 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 1295962454 NPPES
New York MEDICAID 03292284

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