MEDICARE: CHERYL A PARNELL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	005928-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770585085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL A PARNELL PA

Provider Business Mailing Address
First Line	:	360 LINDEN OAKS DR
Second Line	:	SUITE 220
City	:	ROCHESTER
State	:	NY
Zip	:	14625
Country	:	US
Telephone Number	:	585-244-3510
Fax Number	:	585-244-3519

Provider Business Practice Location Address
First Line	:	360 LINDEN OAKS DR
Second Line	:	SUITE 220
City	:	ROCHESTER
State	:	NY
Zip	:	14625
Country	:	US
Telephone Number	:	585-244-3510
Fax Number	:	585-244-3519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/21/2022

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Directions to “ CHERYL A PARNELL PA” Practice Location

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