Healthcare Provider Details

I. General information

NPI: 1780599514
Provider Name (Legal Business Name): CHERYL MOREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 MAIN ST
DANSVILLE NY
14437-1654
US

IV. Provider business mailing address

98 MAIN ST
DANSVILLE NY
14437-1654
US

V. Phone/Fax

Practice location:
  • Phone: 716-533-7716
  • Fax:
Mailing address:
  • Phone: 716-533-7716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: