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
Phone: (585) 678-4862
Fax: (585) 625-3430
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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