Provider Demographics
NPI:1215290226
Name:SHUBONEY, CHERITH L (MS)
Entity type:Individual
Prefix:MRS
First Name:CHERITH
Middle Name:L
Last Name:SHUBONEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 BRIGHTON HENRIETTA TOWNLINE RD.
Mailing Address - Street 2:102
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2839
Mailing Address - Country:US
Mailing Address - Phone:585-427-2977
Mailing Address - Fax:585-427-7410
Practice Address - Street 1:3225 BRIGHTON HENRIETTA TOWNLINE RD.
Practice Address - Street 2:102
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2839
Practice Address - Country:US
Practice Address - Phone:585-427-2977
Practice Address - Fax:585-427-7410
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist