Provider Demographics
NPI:1861528093
Name:INFANTINO, SHERYL ANN
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:ANN
Last Name:INFANTINO
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 1:55 FLOWER CITY PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-3036
Mailing Address - Country:US
Mailing Address - Phone:585-458-8891
Mailing Address - Fax:
Practice Address - Street 1:55 FLOWER CITY PARK
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-3036
Practice Address - Country:US
Practice Address - Phone:585-458-8891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012389-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist