1871888503 NPI number — GEORGE CHERIYAN

Table of content: GEORGE CHERIYAN (NPI 1871888503)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871888503 NPI number — GEORGE CHERIYAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHERIYAN
Provider First Name:
GEORGE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871888503
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
NORTHERN BOULEVARD, P.O. BOX 8000
Provider Second Line Business Mailing Address:
ACADEMIC HEALTH CARE CENTER
Provider Business Mailing Address City Name:
NEW HYDE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11568-8000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-686-1300
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 NORTHERN BOULEVARD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENVALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-686-1300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 204D00000X , with the licence number:  273193 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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