Basic Information
Provider Information
NPI: 1306837950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALERNO
FirstName: SHERYL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
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Mailing Information
Address1: PO BOX 304
Address2: ADIRONDACK MEDICAL SERVICES
City: GLENS FALLS
State: NY
PostalCode: 128010304
CountryCode: US
TelephoneNumber: 5189266992
FaxNumber: 5189266983
Practice Location
Address1: 100 PARK ST
Address2: GLENS FALLS HOSPITAL NEUROLOGY
City: GLENS FALLS
State: NY
PostalCode: 128014413
CountryCode: US
TelephoneNumber: 5189262940
FaxNumber: 5189262941
Other Information
ProviderEnumerationDate: 11/02/2005
LastUpdateDate: 04/25/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X334569NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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