Park, Susan

Park, Susan is an sole proprietor health care provider with primary practice located at 709 N Main St , North Syracuse NY 13212-1669. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Park, Susan can be contacted via phone (315) 452-5915.

Contact Information

Primary practice address
709 N Main St North Syracuse NY 13212-1669
Phone: (315) 452-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 048609-1 New York

Profile Details

NPI number 1821147190
LBN Legal business name Park, Susan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Aug 24th, 2010 - about 16 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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