Landgraf, Susan Margaret
Landgraf, Susan Margaret is an individual health care provider with primary practice located at 15 Canandaigua St , Shortsville NY 14548-9763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Landgraf, Susan Margaret can be contacted via phone (585) 396-6990.Contact Information
Primary practice address
15 Canandaigua St
Shortsville NY 14548-9763
Phone: (585) 396-6990
Fax: (585) 396-6995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 179278 | New York |
Profile Details
| NPI number | 1205944006 |
|---|---|
| LBN Legal business name | Landgraf, Susan Margaret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 28th, 2023 - about 3 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 | 1205944006 | NPPES |
| New York | MEDICAID | 01388274 | |
| New York | Other | P010179278 | |
| New York | Other | 110346BF |
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