Bogosian, Susan

Bogosian, Susan is an individual health care provider with primary practice located at 55 Elm St , Glens Falls NY 12801-3549. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bogosian, Susan can be contacted via phone (518) 793-7273.

Contact Information

Primary practice address
55 Elm St Glens Falls NY 12801-3549
Fax: (518) 798-5004
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 378615 New York

Profile Details

NPI number 1215316922
LBN Legal business name Bogosian, Susan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - 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 1215316922 NPPES
New York MEDICAID 03008326

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