Healthcare Provider Details

I. General information

NPI: 1235562570
Provider Name (Legal Business Name): ROCHELLE LEE CHERRONE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 PEARL ST W
SIDNEY NY
13838-1330
US

IV. Provider business mailing address

39 PEARL ST W
SIDNEY NY
13838-1330
US

V. Phone/Fax

Practice location:
  • Phone: 607-561-2021
  • Fax: 607-563-2263
Mailing address:
  • Phone: 607-561-2021
  • Fax: 607-563-2263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number338261
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: