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

CAROL A SUSTACHE, LPN

Active Sole Proprietor

Licensed Vocational Nurse · SYRACUSE, NY

Registration Details

NPI Number
1699380071
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2020 (5.6425883231966 yrs)
Last Updated
Sep 11, 2020
License
277864 (NY)
Sole Proprietor
Yes

Practice Information

Address
407 GRAND AVE
SYRACUSE, NY, 132042711
Browse NY providers · Browse ZIP 13204
Phone
3153963731
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in SYRACUSE, NY

Name Credential NPI
IRIS LOUISE MAXWELL LPN 1992007421
APRIL HANSON LPN 1730433673
MS. BRENDA LEE DICKINSON LPN 1821438821
ABDUL AUGUSTUS GILBERT 1710307574
MRS. ALZA THERESA JOHNSON 1992154710
CAROL S GREENE 1760066278
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.