Provider Demographics
NPI:1346351731
Name:GAILE, SUSAN E (MS RN NP CNS)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:E
Last Name:GAILE
Suffix:
Gender:F
Credentials:MS RN NP CNS
Other - Prefix:
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Mailing Address - Street 1:160 NEWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616
Mailing Address - Country:US
Mailing Address - Phone:585-467-1361
Mailing Address - Fax:
Practice Address - Street 1:435 EAST HENRIETTA RD
Practice Address - Street 2:MONROE COMMUNITY HOSP
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616
Practice Address - Country:US
Practice Address - Phone:585-760-6567
Practice Address - Fax:585-760-6572
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF4002661363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health