Sustar, Diana Marie
Sustar, Diana Marie is an individual health care provider with primary practice located at 90 South St , Glens Falls NY 12801-4328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sustar, Diana Marie can be contacted via phone (518) 792-7841.Contact Information
Primary practice address
90 South St
Glens Falls NY 12801-4328
Phone: (518) 792-7841
Fax: (518) 932-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 268628 | New York |
Profile Details
| NPI number | 1659500825 |
|---|---|
| LBN Legal business name | Sustar, Diana Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Aug 31st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659500825 | NPPES |
| New York | MEDICAID | 03779664 |
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