Provider Demographics
NPI:1104153857
Name:MCDONALD, CHERIEE (MPH, PA-C)
Entity type:Individual
Prefix:
First Name:CHERIEE
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MPH, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 LEXINGTON AVE UNIT 2649
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10163-9681
Mailing Address - Country:US
Mailing Address - Phone:203-298-9752
Mailing Address - Fax:203-298-9752
Practice Address - Street 1:ESSEN MEDICAL ASSOCIATES
Practice Address - Street 2:3198 GRAND CONCOURSE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-618-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013634-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant