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
Fax: (716) 849-8756
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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