Provider Demographics
NPI:1215207972
Name:PERALES, CHERIE (DO)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:PERALES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NORTON AVE
Mailing Address - Street 2:A.O. FOX MEMORIAL HOSPITAL
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2697
Mailing Address - Country:US
Mailing Address - Phone:607-432-2000
Mailing Address - Fax:
Practice Address - Street 1:1 NORTON AVE
Practice Address - Street 2:A.O. FOX MEMORIAL HOSPITAL
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2697
Practice Address - Country:US
Practice Address - Phone:607-432-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263905207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology