Kathleen Sullivan Buda, RN

Individual provider Active NPI Registered Nurse · Canastota, NY

NPI 1437435682 · NPPES record last updated Nov 1, 2011

Key facts

NPI
1437435682
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
338135 (NY)
Practice address
200 High St
South Side School
Canastota, NY 13032-1511
Phone
(315) 697-6362
Fax
(315) 697-6368
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 338135 NY Yes

Addresses

Primary practice location

200 High St
South Side School
Canastota, NY 13032-1511

Mailing address

200 High St
South Side School
Canastota, NY 13032-1511
Phone (315) 697-6362

Other providers in Canastota, NY

All providers in Canastota, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.