Individual provider · Type 1 NPI

Susan Ann Derby, MA GNP-BC

Gerontology Nurse Practitioner · New York, NY

NPI number 1083880645 Active

Practice location

1275 York Ave, Memorial Sloan Kettering Cancer Center
New York, NY 10065-6007

Fax (646) 888-2735

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X340138 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1083880645

Susan Ann Derby, MA GNP-BC's National Provider Identifier is 1083880645, issued on May 5, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Apr 8, 2011.