Cherish Brookman

Individual provider Active NPI General Practice Registered Nurse · Marathon, NY

NPI 1235910399 · NPPES record last updated Oct 13, 2023

Key facts

NPI
1235910399
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
842140 (NY)
Practice address
1 East Main Street
Marathon, NY 13803
Phone
(607) 849-3120
NPI assigned
Oct 13, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
842140NYMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 842140 NY Yes

Addresses

Primary practice location

1 East Main Street
Marathon, NY 13803

Mailing address

16 Duane St
Cortland, NY 13045-3253
Phone (607) 745-1071

Other providers in Marathon, NY

All providers in Marathon, NY · General Practice Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.