Kissel-Maute, Susan

Kissel-Maute, Susan is an individual health care provider with primary practice located at 5800 Big Tree Rd , Orchard Park NY 14127-4116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kissel-Maute, Susan can be contacted via phone (716) 662-7337.

Contact Information

Primary practice address
5800 Big Tree Rd Orchard Park NY 14127-4116
Fax: (716) 662-0641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F3801551 New York

Profile Details

NPI number 1346291408
LBN Legal business name Kissel-Maute, Susan
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jun 10th, 2008 - about 16 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 1346291408 NPPES
New York Other 0005603363 BLUE CROSS BLUE SHIELD
New York Other 00026518901 BLUE CROSS BLUE SHIELD
New York Other 9511952 BLUE CROSS BLUE SHIELD

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