Healthcare Provider Details

I. General information

NPI: 1952358137
Provider Name (Legal Business Name): CHERYL LYNN RACE-ROBINSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7044 PLAINVILLE RD
MEMPHIS NY
13112-9726
US

IV. Provider business mailing address

7044 PLAINVILLE RD
MEMPHIS NY
13112-9726
US

V. Phone/Fax

Practice location:
  • Phone: 315-506-0654
  • Fax:
Mailing address:
  • Phone: 315-446-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF332641-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: