Individual
SUSAN ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
2 COULTER RD, DIABETES HEALTH CENTER, CLIFTON SPRINGS, NY 14432-1122
(315) 462-0220
(315) 462-3767
Mailing address
2 COULTER RD, DIABETES HEALTH CENTER, CLIFTON SPRINGS, NY 14432-1122
(315) 462-0220
(315) 462-3767
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
571073-1
NY
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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