Stred, Susan Elaine

Stred, Susan Elaine is an individual health care provider with primary practice located at 3229 E Genesee St Ste. 1, Syracuse NY 13214-2016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Stred, Susan Elaine can be contacted via phone (315) 464-5726.

Contact Information

Primary practice address
3229 E Genesee St Ste. 1 Syracuse NY 13214-2016
Phone: (315) 464-5726
Fax: (315) 464-2510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 183126 New York

Profile Details

NPI number 1720004161
LBN Legal business name Stred, Susan Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated May 7th, 2010 - 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 1720004161 NPPES
New York MEDICAID 01225667

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