National Provider Identifier

Sherry Lee Schaefer

Sherry Lee Schaefer is listed in the NPPES registry with a primary specialty of Specialist in Penfield, NY and a listed phone number of (585) 385-3667.

NPI 1396083044Penfield, NYSpecialist

Profile Overview

NPI
1396083044
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 30, 2013
Last Updated
January 30, 2013

Practice Location

  • 109 Sawmill Dr
  • Penfield, NY 14526-1037

Phone: (585) 385-3667

Specialties

  • Specialist (174400000X)
Full Record
NPI
1396083044
Entity Type
Individual
Last Name
Schaefer
First Name
Sherry
Middle Name
Lee
Name Prefix
MS.
Provider Other Last Name
Lodice
Provider Other First Name
Sherry
Provider Other Middle Name
Lee
Provider Other Last Name Type Code
5
Mailing Street Address
109 Sawmill Dr
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1037
Mailing Country
US
Mailing Phone
(585) 385-3667
Mailing Fax
(212) 553-7366
Practice Street Address
109 Sawmill Dr
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1037
Practice Country
US
Practice Phone
(585) 385-3667
Practice Fax
(212) 553-7366
Enumeration Date
January 30, 2013
Last Updated
January 30, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
21SC1205808 (Appearance Enhancement Business License)