| NPI | 1083080782 |
|---|---|
| Former Name | SUSAN MAZURCHUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 401892) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2022-07-21 |