Most Relevant Information
Provider Data
| NPI Number: | 1003285594 |
| Provider Name: | SHERNETTE RICHARDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 318490 |
Most Important Dates
| Enumeration Date: | 09/15/2015 |
| Last Updated: | 09/15/2015 |
Provider Practice Location
2052 TILLOTSON AVE
SUITE 101
BRONX
NY
104751560
Practice Location Phone/Fax
| Phone: | 7186712100 |
| Fax: |
Provider Mailing Location
2052 TILLOTSON AVE
SUITE 101
BRONX
NY
104751560
Provider Mailing Phone/Fax
| Phone: | 7186712100 |
| Fax: |