Most Relevant Information
Provider Data
| NPI Number: | 1003252693 |
| Provider Name: | SUZANNE ELDER |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 303691 |
Most Important Dates
| Enumeration Date: | 05/22/2013 |
| Last Updated: | 05/22/2013 |
Provider Practice Location
347 EAST AVE
ROCHESTER
NY
146042617
Practice Location Phone/Fax
| Phone: | 5854544930 |
| Fax: | 5853256059 |
Provider Mailing Location
347 EAST AVE
ROCHESTER
NY
146042617
Provider Mailing Phone/Fax
| Phone: | 5854544930 |
| Fax: | 5853256059 |