Individual
CHERYL M VAN LARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 NEW CAMPUS DR, HAZEN STUDENT HEALTH CENTER, BROCKPORT, NY 14420-2997
(585) 395-2414
Mailing address
80 SAINT PAUL ST, APT. 2G, ROCHESTER, NY 14604-1310
(585) 704-8562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330902-1
NY
Other
Enumeration date
12/12/2006
Last updated
09/22/2011
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