National Provider Identifier

Susannah Reafsnyder

Susannah Reafsnyder is listed in the NPPES registry with a primary specialty of Specialist in Newark, NY and a listed phone number of (315) 331-2086.

NPI 1073027272Newark, NYSpecialist

Profile Overview

NPI
1073027272
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 27, 2017
Last Updated
November 27, 2017

Practice Location

  • 848 Peirson Ave
  • Newark, NY 14513-9762

Phone: (315) 331-2086

Mailing Address

  • 2267 Walworth Marion RD
  • Walworth, NY 14568-9506

Specialties

  • Specialist (174400000X)
Full Record
NPI
1073027272
Entity Type
Individual
Last Name
Reafsnyder
First Name
Susannah
Mailing Street Address
2267 Walworth Marion RD
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9506
Mailing Country
US
Practice Street Address
848 Peirson Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9762
Practice Country
US
Practice Phone
(315) 331-2086
Enumeration Date
November 27, 2017
Last Updated
November 27, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)