Individual
ANDREA SUTFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
110 HO PLAZA, ITHACA, NY 14853
(607) 255-6106
(607) 254-3503
Mailing address
110 HO PLAZA, ITHACA, NY 14853
(607) 255-6106
(607) 254-3503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
247015
NY
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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