Provider Demographics
NPI:1699737700
Name:SCIORTINO, SUSAN LEE (FNP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LEE
Last Name:SCIORTINO
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:2800 VICTORY BLVD
Mailing Address - Street 2:ROOM 112 CAMPUS HEALTH CENTER 1C
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314
Mailing Address - Country:US
Mailing Address - Phone:718-982-3045
Mailing Address - Fax:718-982-2966
Practice Address - Street 1:2800 VICTORY BLVD
Practice Address - Street 2:THE COLLEGE OF STATEN ISLAND CAMPUS HEALTH CENTER
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314
Practice Address - Country:US
Practice Address - Phone:718-982-3045
Practice Address - Fax:718-982-2966
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NYF332496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine