Individual
MS. SUSAN ANN DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA GNP-BC
Contact information
Practice address
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK, NY 10065-6007
(646) 888-2723
(646) 888-2735
Mailing address
1275 YORK AVE, MEMORIAL SLOAN-KETTERING CANCER CENTER BOX 52, NEW YORK, NY 10065-6007
(646) 888-2723
(646) 888-2735
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340138
NY
Other
Enumeration date
05/05/2008
Last updated
04/08/2011
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