Individual
COLLEEN MARGARET SUSSKRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Mailing address
25 E MAIN ST, SPRINGVILLE, NY 14141-1244
(716) 592-2832
(716) 592-4452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ARNP9366415
FL
363LF0000X
Family Nurse Practitioner
Primary
F344436
NY
Other
Enumeration date
05/10/2018
Last updated
05/19/2025
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