National Provider Identifier
Susan Jane Becker
Susan Jane Becker is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 884-9440.
Profile Overview
- NPI
- 1740543560
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 18, 2012
- Last Updated
- June 18, 2012
Practice Location
- 724 Delaware Ave
- Buffalo, NY 14209-2202
Phone: (716) 884-9440
Mailing Address
- 1 Delaware RD
- Kenmore, NY 14217-2743
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1740543560
- Entity Type
- Individual
- Last Name
- Becker
- First Name
- Susan
- Middle Name
- Jane
- Name Prefix
- MS.
- Provider Other Last Name
- Vanderheid
- Provider Other First Name
- Susan
- Provider Other Middle Name
- Jane
- Provider Other Name Prefix Text
- MS.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1 Delaware RD
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2743
- Mailing Country
- US
- Mailing Phone
- (716) 876-3901
- Practice Street Address
- 724 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2202
- Practice Country
- US
- Practice Phone
- (716) 884-9440
- Enumeration Date
- June 18, 2012
- Last Updated
- June 18, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)