Taber, Susan E

Taber, Susan E is an individual health care provider with primary practice located at 17 Lansing St , Auburn NY 13021-1983. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taber, Susan E can be contacted via phone (315) 458-9525.

Contact Information

Primary practice address
17 Lansing St Auburn NY 13021-1983
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 566292 New York

Profile Details

NPI number 1578824132
LBN Legal business name Taber, Susan E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Mar 4th, 2019 - about 6 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 1578824132 NPPES
New York MEDICAID 03518045

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