Individual provider · NPI-1

Susan Aiello, NP

Nurse Practitioner, Adult Health · Stony Brook, NY

NPI number1992917819

StatusActive

Last updated in NPPESAug 14, 2007

Details

NPI: 1992917819
Entity type: Individual (NPI-1)
Name: Ms. Susan Aiello
Credential: NP
Sex: Female
Sole proprietor: Yes
Enumeration date: May 4, 2007
Last updated: Aug 14, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2200X	Nurse Practitioner, Adult Health	5499577	NY	Yes
163W00000X	Registered Nurse	5799828	NY
363LP0200X	Nurse Practitioner, Pediatrics	f381289	NY

Practice location

Stony Brook Dept Of Radiology
Hsc Level 4, Room 120
Stony Brook, NY 11794-8460

Phone 631-444-2426 · Fax 631-444-7538

Mailing address

Stony Brook Dept Of Radiology
Hsc Level 4, Room 120
Stony Brook, NY 11794-8460

Phone 631-444-2426 · Fax 631-444-7538

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