| Doctor Name: | SUSAN MINKIEWICZ GUGLIUZZA |
| NPI Number: | 1386967008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, MS |
| License Number: | 391419-1 |
| Business Practice Address: | 5105 Willowbrook Dr W Clarence, NY - 140311488 |
| Business Phone Number: | 7167410177 |
| Business Fax Number: | 7167410177 |
| Mailing Address: | 5105 Willowbrook Dr W, CLARENCE |
| State: | NY |
| Postal Code: | 140311488 |
| Phone Number: | 7167410177 |
| Fax Number: | 7167410177 |
| NPI Enumeration Date: | 03/09/2010 |
| NPI Last Update Date: | 03/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN1003X |
| License Number: | 391419-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | |