Individual
MS. SUSAN RUTH SPIESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 SUNSET DRIVE, GRAND ISLAND, NY 14072
(716) 579-3691
Mailing address
2970 SUNSET DR, GRAND ISLAND, NY 14072-1207
(716) 579-3691
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743903637-00
—
NY
Enumeration date
08/04/2017
Last updated
07/21/2022
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