Individual
CHERYL ROOSEVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 UNION RD, BUFFALO, NY 14225-1851
(716) 324-2734
Mailing address
4635 UNION RD, BUFFALO, NY 14225-1851
(716) 324-2734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
497066
NY
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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