Provider Demographics
NPI:1699029819
Name:WOJCINSKI, SUSAN GRACE ((ADULT) NP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:GRACE
Last Name:WOJCINSKI
Suffix:
Gender:F
Credentials:(ADULT) NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3595 STATE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9399
Mailing Address - Country:US
Mailing Address - Phone:585-589-5511
Mailing Address - Fax:585-589-7770
Practice Address - Street 1:3595 STATE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9399
Practice Address - Country:US
Practice Address - Phone:585-589-5511
Practice Address - Fax:585-589-7770
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF300436-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner