Colletti, Susan Angela

Colletti, Susan Angela is an individual health care provider with primary practice located at 113 Holland Ave , Albany NY 12208-3410. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Colletti, Susan Angela can be contacted via phone (518) 626-6025.

Contact Information

Primary practice address
113 Holland Ave Albany NY 12208-3410
Fax:
Website:

Profile Details

NPI number 1467090720
LBN Legal business name Colletti, Susan Angela
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 2019 - about 7 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 1467090720 NPPES
Other 48106 NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION

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