Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN M AVERSO, PNP
Active Sole ProprietorMRS. SUSAN M AVERSO, PNP is a Pediatric Nurse Practitioner healthcare provider located in MIDDLE ISLAND, New York. NPI 1619259942 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MIDDLE ISLAND, NY
Registration Details
- NPI Number
- 1619259942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2011 (14.875376486971 yrs)
- Last Updated
- Sep 13, 2011
- License
-
F381569-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 LONGWOOD RDMIDDLE ISLAND, NY, 119532045Browse NY providers · Browse ZIP 11953
- Phone
- 6319241000
- Fax
- 6319241243
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.