Clifford, Susan Michelle

Clifford, Susan Michelle is an individual health care provider with primary practice located at 420 E 76Th St , New York NY 10021-3396. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Clifford, Susan Michelle can be contacted via phone (212) 434-5300.

Contact Information

Primary practice address
420 E 76Th St New York NY 10021-3396
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 07720600 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23035401 New York

Profile Details

NPI number 1518944768
LBN Legal business name Clifford, Susan Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Apr 9th, 2024 - about last year

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 1518944768 NPPES
New Jersey MEDICAID 0036803
New Jersey Other P3369911

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