Provider Demographics
NPI:1912987041
Name:GARLOW, CHERYL G (PA)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:G
Last Name:GARLOW
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1550 CAYUGA RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:NY
Mailing Address - Zip Code:14081-9574
Mailing Address - Country:US
Mailing Address - Phone:716-337-0629
Mailing Address - Fax:
Practice Address - Street 1:36 THOMAS INDIAN SCHOOL DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:NY
Practice Address - Zip Code:14081-9300
Practice Address - Country:US
Practice Address - Phone:716-532-5582
Practice Address - Fax:716-532-0110
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY005809-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical