Bernice Chichester

Individual provider Active NPI Specialist · Mount Morris, NY

NPI 1962764548 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1962764548
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
2 Livingston County Campus
Mount Morris, NY 14510-1122
Phone
(607) 765-0398
NPI assigned
Jun 11, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Yes

Addresses

Primary practice location

2 Livingston County Campus
Mount Morris, NY 14510-1122

Mailing address

2 Livingston County Campus
Mount Morris, NY 14510-1122
Phone (607) 765-0398

Other providers in Mount Morris, NY

All providers in Mount Morris, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.