Individual provider · Type 1 NPI

Jeffrey William Sussman

Licensed Practical Nurse · Webster, NY

NPI number 1942436175 Active

Practice location

1220 Imperial Dr
Webster, NY 14580-9570

Mailing address

1220 Imperial Drive
Webster, NY 14580

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X271478-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1942436175

Jeffrey William Sussman's National Provider Identifier is 1942436175, issued on Jun 2, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Webster, NY. The record was last updated on Jun 2, 2009.