SUSAN FACKELMAN

MINEOLA, NY
NPI1437259777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  6675)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  407482)
Enumeration Date2006-09-25
Last Update Date2020-07-14
Business Address
SUSAN FACKELMAN
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
Mailing Address
SUSAN FACKELMAN
216 1ST ST
MINEOLA, NY 11501-3901
Phone number: 516-741-0570