| Doctor Name: | SUSAN R SPERRY |
| NPI Number: | 1255463147 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F331051-1 |
| Business Practice Address: | 350 W End Rd Hillsdale, NY - 125295337 |
| Business Phone Number: | 5184288080 |
| Business Fax Number: | |
| Mailing Address: | 250 W 49th St, Suite 405 NEW YORK |
| State: | NY |
| Postal Code: | 100197400 |
| Phone Number: | 6463133703 |
| Fax Number: | 8883450265 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 03/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F331051-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |