| Doctor Name: | SUZANNE CANNON |
| NPI Number: | 1942611777 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 21320216 |
| Business Practice Address: | 23 Ontario St Honeoye Falls, NY - 144721149 |
| Business Phone Number: | 5856242121 |
| Business Fax Number: | 5856247283 |
| Mailing Address: | 23 Ontario St, HONEOYE FALLS |
| State: | NY |
| Postal Code: | 144721149 |
| Phone Number: | 5856242121 |
| Fax Number: | 5856247283 |
| NPI Enumeration Date: | 05/14/2014 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 21320216 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |