National Provider Identifier

Susan Nadeau

Susan Nadeau is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Sanborn, NY and a listed phone number of (716) 507-5769.

NPI 1790047769Sanborn, NYEarly Intervention Provider Agency

Profile Overview

NPI
1790047769
Provider Type
Individual
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
June 14, 2012
Last Updated
June 14, 2012

Practice Location

  • 4314 Upper Mountain RD
  • Sanborn, NY 14132

Phone: (716) 507-5769

Specialties

  • Early Intervention Provider Agency (252Y00000X)
Full Record
NPI
1790047769
Entity Type
Individual
Last Name
Nadeau
First Name
Susan
Mailing Street Address
4314 Upper Mountain RD
Mailing City
Sanborn
Mailing State
NY
Mailing ZIP Code
14132
Mailing Country
US
Practice Street Address
4314 Upper Mountain RD
Practice City
Sanborn
Practice State
NY
Practice ZIP Code
14132
Practice Country
US
Practice Phone
(716) 507-5769
Enumeration Date
June 14, 2012
Last Updated
June 14, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Early Intervention Provider Agency (252Y00000X)