Demarest, Susan Peng
Demarest, Susan Peng is an individual health care provider with primary practice located at 2125 River Rd Ste 303 , Niskayuna NY 12309-1136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Demarest, Susan Peng can be contacted via phone (518) 213-6910.Contact Information
Primary practice address
2125 River Rd Ste 303
Niskayuna NY 12309-1136
Phone: (518) 213-6910
Fax: (518) 213-6915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 277624 | New York |
Profile Details
| NPI number | 1558680504 |
|---|---|
| LBN Legal business name | Demarest, Susan Peng |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2010 |
| Last updated | Nov 15th, 2021 - about 4 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 | 1558680504 | NPPES |
| New York | MEDICAID | 04102383 |
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