National Provider Identifier
Susan Kissel-Maute, CPNP
Susan Kissel-Maute, CPNP is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Orchard Park, NY and a listed phone number of (716) 662-7337.
Profile Overview
- NPI
- 1346291408
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 13, 2006
- Last Updated
- June 10, 2008
Practice Location
- 5800 Big Tree RD
- Orchard Park, NY 14127-4116
Phone: (716) 662-7337
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1346291408
- Entity Type
- Individual
- Last Name
- Kissel-Maute
- First Name
- Susan
- Credential
- CPNP
- Mailing Street Address
- 5800 Big Tree RD
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-4116
- Mailing Country
- US
- Mailing Phone
- (716) 662-7337
- Mailing Fax
- (716) 662-0641
- Practice Street Address
- 5800 Big Tree RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-4116
- Practice Country
- US
- Practice Phone
- (716) 662-7337
- Practice Fax
- (716) 662-0641
- Enumeration Date
- May 13, 2006
- Last Updated
- June 10, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 0005603363 (NY, Blue Cross Blue Shield), 00026518901 (NY, Univera Healthcare), 9511952 (NY, Independent Health)