Provider Demographics
NPI:1336353788
Name:HOYNOWSKI, SUSAN MARIE (RPH)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MARIE
Last Name:HOYNOWSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:MARIE
Other - Last Name:HOYNOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5968 ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:NY
Mailing Address - Zip Code:14519-9504
Mailing Address - Country:US
Mailing Address - Phone:315-524-6980
Mailing Address - Fax:
Practice Address - Street 1:2200 RIDGE RD E
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2644
Practice Address - Country:US
Practice Address - Phone:585-342-6388
Practice Address - Fax:585-342-8487
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist