Individual
SUSAN NADEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4314 UPPER MOUNTAIN RD, SANBORN, NY 14132
(716) 507-5769
Mailing address
4314 UPPER MOUNTAIN RD, SANBORN, NY 14132
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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