National Provider Identifier
Suzanne Marie Desfosses-Gilliam
Suzanne Marie Desfosses-Gilliam is listed in the NPPES registry with a primary specialty of Adult Companion in Williamsville, NY and a listed phone number of (716) 898-8566.
Profile Overview
- NPI
- 1538672589
- Provider Type
- Individual
- Primary Specialty
- Adult Companion
- Enumeration Date
- November 13, 2017
- Last Updated
- November 13, 2017
Practice Location
- 2813 Wehrle Dr Ste 8
- Williamsville, NY 14221-7384
Phone: (716) 898-8566
Mailing Address
- 2813 East Shelby Road
- Oakfield, NY 14125
Specialties
- Adult Companion (372600000X)
Full Record
- NPI
- 1538672589
- Entity Type
- Individual
- Last Name
- Desfosses-Gilliam
- First Name
- Suzanne
- Middle Name
- Marie
- Mailing Street Address
- 2813 East Shelby Road
- Mailing City
- Oakfield
- Mailing State
- NY
- Mailing ZIP Code
- 14125
- Mailing Country
- US
- Practice Street Address
- 2813 Wehrle Dr Ste 8
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7384
- Practice Country
- US
- Practice Phone
- (716) 898-8566
- Practice Fax
- (585) 466-8041
- Enumeration Date
- November 13, 2017
- Last Updated
- November 13, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Companion (372600000X)