Individual
SUSAN KACPRZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
6114 GATES AVE, RIDGEWOOD, NY 11385-3319
(347) 281-0080
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383430
NY
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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