Individual
MRS. SUZANNE MARIE HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2A RICHMOND AVE, BATAVIA, NY 14020-1408
(585) 343-5384
Mailing address
2A RICHMOND AVE, BATAVIA, NY 14020-1408
(585) 343-5384
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
010165-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010165-01
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
06/16/2022
Last updated
06/16/2022
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