Healthcare Provider Details

I. General information

NPI: 1821452327
Provider Name (Legal Business Name): CHENEEN SYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 BAILEY AVE
BUFFALO NY
14215-2814
US

IV. Provider business mailing address

5904 SHERIDAN DR STE 1
WILLIAMSVILLE NY
14221-5873
US

V. Phone/Fax

Practice location:
  • Phone: 716-831-2700
  • Fax: 716-831-1818
Mailing address:
  • Phone: 716-886-5493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number403066
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: