Suzanne Marie Daley, LPN

Individual provider Active NPI Licensed Practical Nurse · Baldwinsville, NY

NPI 1124862495 · NPPES record last updated Jun 21, 2024

Key facts

NPI
1124862495
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
308714-01 (NY)
Practice address
322 Village Blvd S
Baldwinsville, NY 13027-3423
Phone
(332) 288-8511
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
308714-01NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 308714-01 NY Yes

Addresses

Primary practice location

322 Village Blvd S
Baldwinsville, NY 13027-3423

Mailing address

322 Village Blvd S
Baldwinsville, NY 13027-3423
Phone (332) 288-8511

Other names

  • Suzanne Marie Radford Professional name

Other providers in Baldwinsville, NY

All providers in Baldwinsville, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.