Susan Randall-Mantella, RNNP

NPI 1457314650 · on the registry since 2006

Practice

Address: 4117 Medical Center Dr
Pod C
Fayetteville, NY 13066
Phone: (315) 329-4975
Fax: (315) 329-4970
Organisation at this address: Mark A Mcconn Md Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York