National Provider Identifier
Susan M. Peterson, P.A.
Susan M. Peterson, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 675-7000.
Profile Overview
- NPI
- 1538123088
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 13, 2006
- Last Updated
- January 11, 2016
Practice Location
- 3045 Southwestern Blvd Ste 104
- Orchard Park, NY 14127-1209
Phone: (716) 675-7000
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1538123088
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Susan
- Middle Name
- M.
- Name Prefix
- MS.
- Credential
- P.A.
- Mailing Street Address
- 3045 Southwestern Blvd Ste 104
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1209
- Mailing Country
- US
- Mailing Phone
- (716) 675-7000
- Mailing Fax
- (716) 674-4659
- Practice Street Address
- 3045 Southwestern Blvd Ste 104
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1209
- Practice Country
- US
- Practice Phone
- (716) 675-7000
- Practice Fax
- (716) 674-4630
- Enumeration Date
- April 13, 2006
- Last Updated
- January 11, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X), Surgical Physician Assistant (363AS0400X)