Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Susan Ann Derby, MAGNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1083880645

MS. Susan Ann Derby, MAGNP-BC is a Gerontology Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

1275 York Ave Memorial Sloan Kettering Cancer Ctr
New York, NY 10065-6007
Phone: (646) 888-2723
Fax: (646) 888-2735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 340138 (NY)

Record details

NPI number1083880645
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAGNP-BC
Sole proprietorYes
NPI enumeratedMay 5, 2008
Last updated in NPPESApril 8, 2011

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