Brundage, Suzanne Marie

Brundage, Suzanne Marie is an individual health care provider with primary practice located at 11 Murray St , Glens Falls NY 12801-4311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brundage, Suzanne Marie can be contacted via phone (518) 793-1000.

Contact Information

Primary practice address
11 Murray St Glens Falls NY 12801-4311
Phone: (518) 793-1000
Fax: (518) 793-3125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009112 New York

Profile Details

NPI number 1427096601
LBN Legal business name Brundage, Suzanne Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 22nd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427096601 NPPES
New York MEDICAID 02802275

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