MEDICARE: CHERYL COTTON R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	437531	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164645735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL COTTON R.N.

Provider Business Mailing Address
First Line	:	4261 MALTBY RD
Second Line	:
City	:	ELBA
State	:	NY
Zip	:	14058-9755
Country	:	US
Telephone Number	:	585-757-9388
Fax Number	:

Provider Business Practice Location Address
First Line	:	4261 MALTBY RD
Second Line	:
City	:	ELBA
State	:	NY
Zip	:	14058-9755
Country	:	US
Telephone Number	:	585-757-9388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/09/2007

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