Ebner, Susana Adela

Ebner, Susana Adela is an individual health care provider with primary practice located at 1150 St Nicholas Ave 2Nd Fl, Ny NY 10032-3822. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Ebner, Susana Adela can be contacted via phone (212) 851-5494.

Contact Information

Primary practice address
1150 St Nicholas Ave 2Nd Fl Ny NY 10032-3822
Phone: (212) 851-5494
Fax: (212) 851-5493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 226722-1 New York
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 226722 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 226722 New York

Profile Details

NPI number 1053330332
LBN Legal business name Ebner, Susana Adela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 10th, 2017 - about 7 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 1053330332 NPPES
New York MEDICAID 01634371

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