Jacqueline Sherry Fern in Port Jefferson Stati - Dermatology
Jacqueline Sherry Fern - NPI 1235114752
Jacqueline Sherry Fern is a Dermatology in Port Jefferson Stati, New York. Jacqueline Sherry Fern practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jacqueline Sherry Fern is 1235114752. The last update date is 2014-05-22.
Jacqueline Sherry Fern's current location address is 2 Medical Dr, Port Jefferson Stati, New York. You can contact this provider via phone number 6319281555 and fax number 6319281570. The mailing address for Jacqueline Sherry Fern is 2 Medical Dr, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Sherry Fern |
|---|---|
| Address | 2 Medical Dr, Port Jefferson Stati, New York |
| Phone Number | 6319281555 |
| Fax Number | 6319281570 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1235114752 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 2 Medical Dr |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117761598 |
| Phone Number | 6319281555 |
| Fax Number | 6319281570 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 175358 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique identifier code issued to Jacqueline Sherry Fern by the Centers for Medicare & Medicaid Services?
The Jacqueline Sherry Fern has been assigned the NPI (National Provider Identifier) 1235114752. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jacqueline Sherry Fern is located?
The Jacqueline Sherry Fern is situated at the following address: 2 Medical Dr, Port Jefferson Stati, NY, 117761598.
What is the Jacqueline Sherry Fern's specialty and taxonomy code?
The Jacqueline Sherry Fern's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235114752 to Jacqueline Sherry Fern?
The Centers for Medicare & Medicaid Services originally issued the 1235114752 to Jacqueline Sherry Fern on 2005-12-07.
When was the Jacqueline Sherry Fern's information last updated?
The Jacqueline Sherry Fern's information was last updated on 2014-05-22.