Individual
MRS. SUSAN ELLEN HERKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1200 E AND WEST RD, WEST SENECA, NY 14224-3604
(716) 517-3670
(716) 517-3738
Mailing address
36 AINSLEY CT, WILLIAMSVILLE, NY 14221-2867
(716) 639-8413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0019171
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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