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MRS. MARY SUSAN NIEDERPRUEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221
(716) 636-7979
(716) 636-7993
Mailing address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221
(716) 636-7990
(716) 636-7993

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301068
NY

Other

Enumeration date
04/26/2006
Last updated
12/29/2017
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