Doctor Name: | MRS. SUSAN LABUHN |
NPI Number: | 1174807390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 390627 |
Business Practice Address: | 207 Rock City St Little Valley, NY - 147551221 |
Business Phone Number: | 7169389155 |
Business Fax Number: | 7169386576 |
Mailing Address: | 207 Rock City St, LITTLE VALLEY |
State: | NY |
Postal Code: | 147551221 |
Phone Number: | 7169389155 |
Fax Number: | 7169386576 |
NPI Enumeration Date: | 10/06/2011 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 390627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |