Individual
SUSANNE HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 JOHN JAMES AUDUBON PKWY FL 2, AMHERST, NY 14228
(716) 849-8750
(716) 849-8756
Mailing address
1 JOHN JAMES AUDUBON PKWY FL 2, AMHERST, NY 14228-1145
(716) 849-8750
(716) 849-8756
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332652
NY
363L00000X
Nurse Practitioner
63373
NM
363L00000X
Nurse Practitioner
838613
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026516801
UNIVERA
NY
01
—
00026762505
UNIVERA
NY
01
—
000560496003
BLUE CROSS
NY
01
—
000560496007
BCBS
NY
05
—
02160236
—
NY
01
—
9512581
IND. HEALTH
NY
Enumeration date
04/07/2006
Last updated
09/22/2023
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