Roskoff, Susan F

Roskoff, Susan F is an individual health care provider with primary practice located at 453 Jewell Dr , Liverpool NY 13088. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Roskoff, Susan F can be contacted via phone (315) 451-6942.

Contact Information

Primary practice address
453 Jewell Dr Liverpool NY 13088
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 123804-1 New York

Profile Details

NPI number 1629280904
LBN Legal business name Roskoff, Susan F
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1629280904 NPPES
New York MEDICAID 01772361

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