Individual
MS. CHERYL MACKLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 EAST AVE, HILTON, NY 14468-1254
(585) 392-1000
(585) 392-1051
Mailing address
400 EAST AVE, HILTON, NY 14468-1254
(585) 392-1000
(585) 392-1051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
309561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM73NC48
—
NY
Enumeration date
09/25/2012
Last updated
09/25/2012
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