Individual
MS. SUSAN SHELDON OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9864 LUCKEY DR, HOUGHTON, NY 14744-8706
(716) 375-7500
Mailing address
9864 LUCKEY DR, HOUGHTON, NY 14744-8706
(716) 375-7500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
031795
NY
Other
Enumeration date
12/09/2019
Last updated
09/10/2025
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