Provider Demographics
NPI:1164745071
Name:BEHLMAIER, SUZANNE VELMA (LPN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:VELMA
Last Name:BEHLMAIER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5230 DORST DR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-6620
Mailing Address - Country:US
Mailing Address - Phone:716-649-0348
Mailing Address - Fax:
Practice Address - Street 1:5230 DORST DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-6620
Practice Address - Country:US
Practice Address - Phone:716-649-0348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187982-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse