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SUSAN LEE MOENCH R.N.,M.S.,C.S.,N.P.
NPI 1689875767
Nurse Practitioner - Psychiatric/Mental Health in Tully, NY

Active since May 29, 2007
35 STATE ST, TULLY, NY 13159(315) 696-0264(315) 696-0264 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Lee Moench R.n.,m.s.,c.s.,n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN LEE MOENCH R.N.,M.S.,C.S.,N.P. (NPI 1689875767) is an individual psychiatric/mental health provider in Tully, New York, licensed in New York (312927-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1689875767
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN LEE MOENCHCredential: R.N.,M.S.,C.S.,N.P.
Location Address35 STATE STTully, NY 13159-3218
Mailing Address35 State StTully, NY 13159-3218 · (315) 696-0264 · Fax (315) 696-0264
Phone(315) 696-0264
Fax(315) 696-0264
Sole ProprietorYes
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689875767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 312927-1
35 STATE ST, Tully, NY 13159
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Moench's NPI number?

The NPI number for Susan Moench is 1689875767. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Susan Moench located?

Susan Moench practices at 35 State St, Tully, NY 13159. The listed phone number is (315) 696-0264.

What is Susan Moench's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Susan Moench was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.