Basic Information
| Provider Information | |||||||||
| NPI: | 1831155936 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BERNAT | ||||||||
| FirstName: | SHERRIE | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | NP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HALIK | ||||||||
| OtherFirstName: | SHERRIE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 800 CARTER ST | ||||||||
| Address2: | ATTN KELLY STEELE | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146212604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853394793 | ||||||||
| FaxNumber: | 5853364845 | ||||||||
| Practice Location | |||||||||
| Address1: | 899 MAIN ST | ||||||||
| Address2: | WILLIAM E MOSHER HEALTH CENTER | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142031109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168782700 | ||||||||
| FaxNumber: | 7165045544 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2006 | ||||||||
| LastUpdateDate: | 10/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 420113 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
ID Information
| ID | Type | State | Issuer | Description | 180047CK | 01 | NY | PREFERRED CARE | OTHER | 9513166 | 01 | NY | IHA | OTHER | 000560341004 | 01 | NY | BCBS | OTHER | 040501003374 | 01 | NY | FIDELIS | OTHER | 10766768 | 01 | NY | CAQH | OTHER | 8494418 | 05 | NY | MEDICAID |