Linehan, Susan J

Linehan, Susan J is an individual health care provider with primary practice located at 5415 W Genesee St Suite 301, Camillus NY 13031-2162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Linehan, Susan J can be contacted via phone (315) 487-8109.

Contact Information

Primary practice address
5415 W Genesee St Suite 301 Camillus NY 13031-2162
Fax: (315) 487-5680
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F000479 New York

Profile Details

NPI number 1821068412
LBN Legal business name Linehan, Susan J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 17th, 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 1821068412 NPPES
New York MEDICAID 01791111

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