Individual
CHERYL W MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
89 GENESEE ST, INPATIENT PSYCH, ROCHESTER, NY 14611-3201
(585) 368-3680
Mailing address
89 GENESEE ST, INPATIENT PSYCH, ROCHESTER, NY 14611-3201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F300221
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400666
NY
Other
Enumeration date
01/17/2007
Last updated
03/31/2015
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