Individual
MS. SUSAN SANCILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2834 NY-17M, NEW HAMPTON, NY 10958
(845) 374-8700
Mailing address
5 BIRCHWOOD DR, MONTAGUE, NJ 07827-3214
(201) 917-0751
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
857654
NY
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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