Individual
SUSAN A DELONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
571 10TH ST, NIAGARA FALLS, NY 14301-1843
(716) 284-5682
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02429270
—
NY
Enumeration date
04/07/2006
Last updated
07/08/2007
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