Provider Demographics
NPI:1013028737
Name:DEELEY, CHERYL S (NP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:S
Last Name:DEELEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 MERIDIAN CENTER
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-463-3100
Mailing Address - Fax:585-463-3105
Practice Address - Street 1:300 MERIDIAN CENTER
Practice Address - Street 2:SUITE 320
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-463-3100
Practice Address - Fax:585-463-3105
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY341998-1163W00000X
NY330659363LA2200X
NY330659-1363LF0000X
NY306415-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02754736Medicaid
NYR53621Medicare UPIN
NY02754736Medicaid