Individual
MRS. CATHLEEN CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 HOGEN DR, STE 10, ROCHESTER, NY 14625
(585) 267-8200
(585) 785-8234
Mailing address
PO BOX 2000, BOX 655, EAST SYRACUSE, NY 13057-9926
(315) 362-5129
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
33752
NY
367500000X
Certified Registered Nurse Anesthetist
333752
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
463001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02388154
—
NY
Enumeration date
07/21/2006
Last updated
07/05/2023
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