Ancrum, Cheryl Denise

Ancrum, Cheryl Denise is an sole proprietor health care provider with primary practice located at 230 Hilton Ave Suite 203, Hempstead NY 11550-8115. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ancrum, Cheryl Denise can be contacted via phone (516) 483-8375.

Contact Information

Primary practice address
230 Hilton Ave Suite 203 Hempstead NY 11550-8115
Fax: (516) 483-8375
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 040807 New York

Profile Details

NPI number 1518969492
LBN Legal business name Ancrum, Cheryl Denise
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Feb 29th, 2016 - about 8 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 1518969492 NPPES
New York MEDICAID 01264153

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