Hazel, Susanne
Hazel, Susanne is an individual health care provider with primary practice located at 1 John James Audubon Pkwy Fl 2 , Amherst NY 14228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hazel, Susanne can be contacted via phone (716) 849-8750.Contact Information
Primary practice address
1 John James Audubon Pkwy Fl 2
Amherst NY 14228
Phone: (716) 849-8750
Fax: (716) 849-8756
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 63373 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 332652 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 838613 | Nevada |
Profile Details
NPI number | 1740243344 |
---|---|
LBN Legal business name | Hazel, Susanne |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
Last updated | Sep 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740243344 | NPPES |
New York | Other | 00026762505 | UNIVERA |
New York | Other | 9512581 | UNIVERA |
New York | Other | 00026516801 | UNIVERA |
New York | Other | 000560496003 | UNIVERA |
New York | Other | 000560496007 | UNIVERA |
New York | MEDICAID | 02160236 | UNIVERA |
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