Healthcare Provider Details

I. General information

NPI: 1457200842
Provider Name (Legal Business Name): CHERICE STEBBINS NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9655 BREWERTON RD
BREWERTON NY
13029-9830
US

IV. Provider business mailing address

PO BOX 9
BREWERTON NY
13029-0009
US

V. Phone/Fax

Practice location:
  • Phone: 315-920-0841
  • Fax: 315-367-7184
Mailing address:
  • Phone: 315-920-0841
  • Fax: 315-856-5399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHERICE MARIE STEBBINS
Title or Position: PRACTICE OWNER
Credential: NP
Phone: 315-715-2274