Ms. Susan Ann Derby
Nurse Practitioner - Gerontology
1275 York Ave Memorial Sloan Kettering Cancer Center
New York
, New York 10065-6007
Ms. Susan Ann Derby
Nurse Practitioner - Gerontology
1275 York Ave Memorial Sloan Kettering Cancer Center
New York
, New York 10065-6007
(646) 888-2735
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Susan Ann Derby
- 1275 York Ave Memorial Sloan-Kettering Cancer Center Box 52
- New York, NY
- Zip : 10065-6007
- Fax : (646) 888-2735
- Phone : (646) 888-2723
Second Address
- Ms. Susan Ann Derby
- 1275 York Ave Memorial Sloan Kettering Cancer Center
- New York, NY
- Zip : 10065-6007
- Fax : (646) 888-2735
- Phone : (646) 888-2723
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 340138 | NY |
National Provider Identifier
| NPI | 1083880645 |
|---|---|
| Provider Name | Ms. Susan Ann Derby |
| First Address | New York, NY 10065-6007 |
| Second Address | New York, NY 10065-6007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2008 |
| Last Update Date | 08/04/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.