Newburge, Susan Klein

Newburge, Susan Klein is an sole proprietor health care provider with primary practice located at 6800 Pittsford Palmyra Rd Suite 135, Fairport NY 14450-3584. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Newburge, Susan Klein can be contacted via phone (585) 678-4862.

Contact Information

Primary practice address
6800 Pittsford Palmyra Rd Suite 135 Fairport NY 14450-3584
Fax: (585) 625-3430
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016519-1 New York

Profile Details

NPI number 1447318431
LBN Legal business name Newburge, Susan Klein
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Aug 8th, 2012 - about 12 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 1447318431 NPPES
New York Other P010016519 RIPA EXCELLUS
New York Other 187557FC RIPA EXCELLUS
New York Other 7453833 RIPA EXCELLUS

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