Goe, Susan R

Goe, Susan R is an individual health care provider with primary practice located at 3 Irongate Center , Glens Falls NY 12801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goe, Susan R can be contacted via phone (518) 793-4409.

Contact Information

Primary practice address
3 Irongate Center Glens Falls NY 12801
Fax: (518) 793-5886
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3313151 New York

Profile Details

NPI number 1952390981
LBN Legal business name Goe, Susan R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 30th, 2013 - about 11 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 1952390981 NPPES
New York MEDICAID 02154121

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