| Doctor Name: | MRS. CHERYL PEACE ROLOSON |
| NPI Number: | 1497023048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 310751-1 |
| Business Practice Address: | 165 Charles St Painted Post, NY - 148701100 |
| Business Phone Number: | 6079363704 |
| Business Fax Number: | |
| Mailing Address: | 377 Imperial Ave, PAINTED POST |
| State: | NY |
| Postal Code: | 148701442 |
| Phone Number: | 6077427282 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2011 |
| NPI Last Update Date: | 12/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 310751-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |