Faulkner, Susan J.

Faulkner, Susan J. is an individual health care provider with primary practice located at 307 Hamilton St , Albany NY 12210-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Faulkner, Susan J. can be contacted via phone (518) 449-1255.

Contact Information

Primary practice address
307 Hamilton St Albany NY 12210-1707
Fax: (518) 449-1255
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014519-1 New York

Profile Details

NPI number 1740226927
LBN Legal business name Faulkner, Susan J.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1740226927 NPPES
New York MEDICAID 02144663

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