National Provider Identifier
Jeffrey William Sussman
Jeffrey William Sussman is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Webster, NY and a listed phone number of (585) 732-9248.
Profile Overview
- NPI
- 1942436175
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 02, 2009
- Last Updated
- June 02, 2009
Practice Location
- 1220 Imperial Dr
- Webster, NY 14580-9570
Phone: (585) 732-9248
Mailing Address
- 1220 Imperial Drive
- Webster, NY 14580
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1942436175
- Entity Type
- Individual
- Last Name
- Sussman
- First Name
- Jeffrey
- Middle Name
- William
- Name Prefix
- Mr.
- Mailing Street Address
- 1220 Imperial Drive
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 732-9248
- Practice Street Address
- 1220 Imperial Dr
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-9570
- Practice Country
- US
- Practice Phone
- (585) 732-9248
- Enumeration Date
- June 02, 2009
- Last Updated
- June 02, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)