Raymond, Susan

Raymond, Susan is an individual health care provider with primary practice located at 3226 Wilkins Rd , Ithaca NY 14850-9568. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Raymond, Susan can be contacted via phone (607) 272-5891.

Contact Information

Primary practice address
3226 Wilkins Rd Ithaca NY 14850-9568
Fax: (607) 272-0188
Website:

Profile Details

NPI number 1376717074
LBN Legal business name Raymond, Susan
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Dec 15th, 2011 - about 13 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 1376717074 NPPES
New York Other 015772 OT LICENSE

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