Provider Demographics
NPI:1104097807
Name:CHERIYAN, STELLA J (MS FNP)
Entity type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:J
Last Name:CHERIYAN
Suffix:
Gender:F
Credentials:MS FNP
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Mailing Address - Street 1:475 SEAVIEW AVENUE
Mailing Address - Street 2:STATEN ISLAND UNIVERSITY HOSPITAL DEPARTMENT OF MEDICIN
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-226-9511
Mailing Address - Fax:718-226-1939
Practice Address - Street 1:475 SEAVIEW AVENUE
Practice Address - Street 2:STATEN ISLAND UNIVERSITY HOSPITAL ED HOLDING AREA
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-226-8355
Practice Address - Fax:718-226-1939
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF3352361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily