Pagel, Susan

Pagel, Susan is an sole proprietor health care provider with primary practice located at 1111 Amsterdam Ave Clark 9, New York NY 10025-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pagel, Susan can be contacted via phone (212) 523-4936.

Contact Information

Primary practice address
1111 Amsterdam Ave Clark 9 New York NY 10025-1716
Fax: (212) 636-1342
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400103 New York

Profile Details

NPI number 1790751980
LBN Legal business name Pagel, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Aug 25th, 2010 - about 14 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 1790751980 NPPES
New York MEDICAID 02080808

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