Individual
SUSIE SIYU O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 LUDLOW ST APT 7, NEW YORK, NY 10002-6370
(646) 724-4745
Mailing address
17 LUDLOW ST APT 7, NEW YORK, NY 10002-6370
(646) 724-4745
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
6748451
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
674845
NY
Other
Enumeration date
02/22/2019
Last updated
06/24/2021
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