Santry, Susan M

Santry, Susan M is an individual health care provider with primary practice located at 127E Lincoln Ave , Mount Vernon NY 10552-3208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Santry, Susan M can be contacted via phone (203) 249-6767.

Contact Information

Primary practice address
127E Lincoln Ave Mount Vernon NY 10552-3208
Phone: (203) 249-6767
Fax: (203) 531-1901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1705661 New York

Profile Details

NPI number 1154300911
LBN Legal business name Santry, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Sep 23rd, 2015 - about 10 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 1154300911 NPPES
New York MEDICAID 01069832

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