Leeson, Susan H

Leeson, Susan H is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Leeson, Susan H can be contacted via phone (315) 448-5274.

Contact Information

Primary practice address
301 Prospect Ave Syracuse NY 13203-1807
Phone: (315) 448-5274
Fax: (315) 448-5263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 159863 New York

Profile Details

NPI number 1730171737
LBN Legal business name Leeson, Susan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Sep 13th, 2007 - about 19 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 1730171737 NPPES
New York MEDICAID 00555440
New York MEDICAID 02224500
New York MEDICAID 01360609
New York MEDICAID 00555500

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