Individual
MRS. SUSAN GAYLE MCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 JOHN JAMES AUDUBON PKWY, AMHERST, NY 14228-1143
(716) 204-4500
(716) 204-4501
Mailing address
9 FORESTGLEN CIR, WILLIAMSVILLE, NY 14221-1360
(716) 631-5141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015188
NY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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