Green, Susan B

Green, Susan B is an individual health care provider with primary practice located at 6846 Buckley Rd , N Syracuse NY 13212-4275. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Green, Susan B can be contacted via phone (315) 410-6400.

Contact Information

Primary practice address
6846 Buckley Rd N Syracuse NY 13212-4275
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 391052 New York

Profile Details

NPI number 1568695294
LBN Legal business name Green, Susan B
Credentials RD, MPH, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2009
Last updated Aug 28th, 2009 - about 15 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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