Austin, Susan Mary

Austin, Susan Mary is an sole proprietor health care provider with primary practice located at 186 Ford Ave , Troy NY 12180-5811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Austin, Susan Mary can be contacted via phone (518) 462-3047.

Contact Information

Primary practice address
186 Ford Ave Troy NY 12180-5811
Fax: (518) 274-0397
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 195337 New York

Profile Details

NPI number 1063464816
LBN Legal business name Austin, Susan Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Feb 26th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063464816 NPPES
New York MEDICAID 01697763

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