Brundage, Susan
Brundage, Susan is an individual health care provider with primary practice located at 530 1St Ave # Hcc6C Department Of Surgery, New York NY 10016-6402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Brundage, Susan can be contacted via phone (212) 263-7302.Contact Information
Primary practice address
530 1St Ave # Hcc6C Department Of Surgery
New York NY 10016-6402
Phone: (212) 263-7302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A52714 | California |
Profile Details
| NPI number | 1073697587 |
|---|---|
| LBN Legal business name | Brundage, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Dec 23rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073697587 | NPPES |
| California | MEDICAID | 00A527140 |
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