Provider Demographics
NPI:1518287994
Name:AMES, CHERYL ANN (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:AMES
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 PADEN ST
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-4531
Mailing Address - Country:US
Mailing Address - Phone:607-757-2137
Mailing Address - Fax:607-757-2878
Practice Address - Street 1:715 PADEN ST
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-4531
Practice Address - Country:US
Practice Address - Phone:607-757-2137
Practice Address - Fax:607-757-2878
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012897-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist