Pedersen, Susan C.

Pedersen, Susan C. is an individual health care provider with primary practice located at 327 Route 59 , Airmont NY 10952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Pedersen, Susan C. can be contacted via phone (845) 356-2900.

Contact Information

Primary practice address
327 Route 59 Airmont NY 10952
Phone: (845) 356-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 321489 New York

Profile Details

NPI number 1659368405
LBN Legal business name Pedersen, Susan C.
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 17th, 2018 - about 6 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 1659368405 NPPES
New York MEDICAID P33251

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