Individual
MARILYN S SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
465 N MAIN ST, JDK BEHAVORIAL HEALTH CENTER, PENN YAN, NY 14527-1069
(315) 531-2400
Mailing address
465 N MAIN ST, JDK BEHAVORIAL HEALTH CENTER, PENN YAN, NY 14527-1069
(315) 531-2400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301378
NY
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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