Provider Demographics
NPI:1083808042
Name:PUSEY, CHLOE A (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:A
Last Name:PUSEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 VESTAL RD
Mailing Address - Street 2:VESTAL EXECUTIVE PARK SUITE 203
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3500
Mailing Address - Country:US
Mailing Address - Phone:607-797-9036
Mailing Address - Fax:607-798-0601
Practice Address - Street 1:4104 VESTAL RD
Practice Address - Street 2:VESTAL EXECUTIVE PARK SUITE 203
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3500
Practice Address - Country:US
Practice Address - Phone:607-797-9036
Practice Address - Fax:607-798-0601
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF320071-1363LF0000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily