Individual
COURTNEY SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 GREELEY AVE, STATEN ISLAND, NY 10306-5449
(718) 873-7219
Mailing address
529 GREELEY AVE, STATEN ISLAND, NY 10306-5449
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310733
NY
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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