Doctor Name: | CHLOE A PUSEY |
NPI Number: | 1083808042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | F320071-1 |
Business Practice Address: | 4104 Vestal Rd Vestal Executive Park Suite 203 Vestal, NY - 138503500 |
Business Phone Number: | 6077979036 |
Business Fax Number: | 6077980601 |
Mailing Address: | 4104 Vestal Rd, Vestal Executive Park Suite 203 VESTAL |
State: | NY |
Postal Code: | 138503500 |
Phone Number: | 6077979036 |
Fax Number: | 6077980601 |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 03/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F320071-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |