Individual
MS. SUSAN ALTA CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
95 POINT PLEASANT RD, ROCHESTER, NY 14622-1667
(585) 339-1354
(585) 339-1353
Mailing address
95 POINT PLEASANT RD, ROCHESTER, NY 14622-1667
(585) 339-1354
(585) 339-1353
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
313735-1
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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