Individual
MS. SUZANNE THERESA LUDLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1110
(516) 734-8811
(516) 734-8862
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1110
(516) 734-8811
(516) 734-8862
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
F304799-1
NY
364SX0200X
Oncology Clinical Nurse Specialist
Primary
F304799-1
NY
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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