Nelson, Suellen

Nelson, Suellen is an individual health care provider with primary practice located at 969 Main St Suite D, Fishkill NY 12524. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Nelson, Suellen can be contacted via phone (845) 896-7730.

Contact Information

Primary practice address
969 Main St Suite D Fishkill NY 12524
Phone: (845) 896-7730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 000463 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003700 New York

Profile Details

NPI number 1811025257
LBN Legal business name Nelson, Suellen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 15th, 2018 - about 8 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 1811025257 NPPES
New York Other A400085151 MEDICARE PTAN
New York MEDICAID 04956290 MEDICARE PTAN

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