Provider Demographics
NPI:1356777072
Name:VOIGT, SUZANNE HARRIET (LPN)
Entity type:Individual
Prefix:MISS
First Name:SUZANNE
Middle Name:HARRIET
Last Name:VOIGT
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 1:31 JEROME CT
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-2507
Mailing Address - Country:US
Mailing Address - Phone:716-656-8540
Mailing Address - Fax:
Practice Address - Street 1:31 JEROME CT
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-2507
Practice Address - Country:US
Practice Address - Phone:716-656-8540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243394164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse