Choi, Susan Wollin
Choi, Susan Wollin is an individual health care provider with primary practice located at 1246 State Route 38 , Owego NY 13827-3217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Choi, Susan Wollin can be contacted via phone (607) 687-6101.Contact Information
Primary practice address
1246 State Route 38
Owego NY 13827-3217
Phone: (607) 687-6101
Fax: (607) 687-5994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD042209E | Pennsylvania |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 181337-1 | New York |
Profile Details
NPI number | 1003880055 |
---|---|
LBN Legal business name | Choi, Susan Wollin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Mar 31st, 2021 - about 3 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 | 1003880055 | NPPES |
New York | MEDICAID | 01222040 | |
New York | Other | 110224587 | |
New York | Other | CC8362 | |
New York | MEDICAID | 0012258470003 |
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