Provider Demographics
NPI:1679573661
Name:CINDRIC, CHERRIE FABRY (DPM)
Entity type:Individual
Prefix:DR
First Name:CHERRIE
Middle Name:FABRY
Last Name:CINDRIC
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 PELLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4488
Mailing Address - Country:US
Mailing Address - Phone:724-832-1000
Mailing Address - Fax:724-837-4830
Practice Address - Street 1:700 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4488
Practice Address - Country:US
Practice Address - Phone:724-832-1000
Practice Address - Fax:724-837-4830
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-30
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005658213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU94032Medicare UPIN