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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN E GUSTAFSON, PA-C

Active

SUSAN E GUSTAFSON, PA-C is a Physician Assistant healthcare provider located in JAMESTOWN, New York. NPI 1417393927 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JAMESTOWN, NY

Registration Details

NPI Number
1417393927
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2013 (13.23082095826 yrs)
Last Updated
Aug 20, 2021
Licenses
MA060649 (PA)
MA060649 (PA)
016685 (NY)

Practice Information

Address
21 PORTER AVE
JAMESTOWN, NY, 147016247
Browse NY providers · Browse ZIP 14701
Phone
7166641909
Fax
7166642214
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in JAMESTOWN, NY

Name Credential NPI
MR. DAVID B SMALLING RPA 1114987625
PAULETTE C ZIOMEK PA 1073550703
MELISSA MURPHY 1003854886
MARIANNE T SCHROEDER PA 1780780080
MRS. EILEEN M SMITH P.A. 1881786598
KATIE MARIE BELL RPA-C 1881884526
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.