Primakoff, Susanna

Primakoff, Susanna is an individual health care provider with primary practice located at 95 Crystal Run Rd , Middletown NY 10941-7001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Primakoff, Susanna can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
95 Crystal Run Rd Middletown NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005715 New York

Profile Details

NPI number 1336338045
LBN Legal business name Primakoff, Susanna
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated May 4th, 2011 - 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 1336338045 NPPES
New York MEDICAID 01717500

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