Provider Demographics
NPI:1043758865
Name:CHERKASSKY, YURY (RRT)
Entity type:Individual
Prefix:MR
First Name:YURY
Middle Name:
Last Name:CHERKASSKY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 HUNTON ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-3101
Mailing Address - Country:US
Mailing Address - Phone:718-938-9915
Mailing Address - Fax:718-376-5078
Practice Address - Street 1:400 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6008
Practice Address - Country:US
Practice Address - Phone:718-376-6500
Practice Address - Fax:718-376-5078
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004647-12279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care