Healthcare Provider Details

I. General information

NPI: 1275815037
Provider Name (Legal Business Name): CATHERINE SUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 HIGHLAND PKWY
BUFFALO NY
14223-1345
US

IV. Provider business mailing address

33 HIGHLAND PKWY
BUFFALO NY
14223-1345
US

V. Phone/Fax

Practice location:
  • Phone: 716-874-8401
  • Fax: 716-874-8527
Mailing address:
  • Phone: 716-874-8401
  • Fax: 716-874-8527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number323892-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: