Provider Demographics
NPI:1841775673
Name:TOE, CHERELL DARNESE
Entity Type:Individual
Prefix:
First Name:CHERELL
Middle Name:DARNESE
Last Name:TOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14204-1819
Mailing Address - Country:US
Mailing Address - Phone:716-392-0133
Mailing Address - Fax:
Practice Address - Street 1:431 WILLIAMS
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204
Practice Address - Country:US
Practice Address - Phone:716-392-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist