Individual
SUSAN M NICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1006
(716) 250-5922
Mailing address
425 ESSJAY RD, STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008550-1
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026823902
UNIVERA
NY
01
—
000570351004
HEALTH NOW
NY
05
—
02343768
—
NY
01
—
161000580
NORTH AMERICAN PREFERRED
NY
01
—
9512736
IHA
NY
01
—
P00235545
RR MEDICARE
NY
Enumeration date
07/05/2006
Last updated
12/06/2021
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