Individual
CHERYL A WHITE-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1102
(716) 633-6507
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008767-1
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026503702
UNIVERA
NY
01
—
000570368003
HEALTH NOW
NY
01
—
161000580
NOVA
NY
01
—
9512093
IHA
NY
Enumeration date
08/03/2006
Last updated
12/20/2021
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