Individual
MRS. SUSAN JANE BOSTAPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44 WESTFALL DR, TONAWANDA, NY 14150-7130
(716) 874-8719
(716) 874-8550
Mailing address
44 WESTFALL DR, TONAWANDA, NY 14150-7130
(716) 874-8719
(716) 874-8550
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
263993
NY
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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