Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 306415-1 | NY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 330659-1 | NY |
NPI | 1013028737 |
---|---|
Provider Name | Cheryl S Deeley |
First Address | Rochester, NY 14618 |
Second Address | Rochester, NY 14618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 13/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02754736 | (05) | NY |
11146U | (02) | NY |
R53621 | (02) | NY |