Individual
SUSAN M WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1304 BUCKLEY RD, SYRACUSE, NY 13212-4302
(315) 478-3311
(315) 426-0796
Mailing address
1304 BUCKLEY RD, SYRACUSE, NY 13212-4302
(315) 478-3311
(315) 426-0796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301103
NY
Other
Enumeration date
11/18/2005
Last updated
12/12/2008
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