Provider Demographics
NPI:1679896096
Name:SMITH, SHERYL SUGRUE
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:SUGRUE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 DAVIES AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14586-8807
Mailing Address - Country:US
Mailing Address - Phone:585-444-0195
Mailing Address - Fax:585-368-4815
Practice Address - Street 1:344 DAVIES AVE
Practice Address - Street 2:
Practice Address - City:WEST HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14586-8807
Practice Address - Country:US
Practice Address - Phone:585-444-0195
Practice Address - Fax:585-368-4815
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula