Provider Demographics
NPI:1215143409
Name:CHEY, LAURA (LAURA CHEY)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:CHEY
Suffix:
Gender:F
Credentials:LAURA CHEY
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:CHEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC MTOM
Mailing Address - Street 1:152 W COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-2150
Mailing Address - Country:US
Mailing Address - Phone:585-381-6490
Mailing Address - Fax:585-381-6188
Practice Address - Street 1:152 W COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2150
Practice Address - Country:US
Practice Address - Phone:585-381-6490
Practice Address - Fax:585-381-6188
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000799-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist