Provider Demographics
NPI:1962764795
Name:SCHERIFF, NATALIE TAYLOR
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:TAYLOR
Last Name:SCHERIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 E BEECH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3603
Mailing Address - Country:US
Mailing Address - Phone:516-322-9410
Mailing Address - Fax:
Practice Address - Street 1:417 E BEECH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3603
Practice Address - Country:US
Practice Address - Phone:516-322-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY567142111252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency