Raymond, Susan
Raymond, Susan is an individual health care provider with primary practice located at 3226 Wilkins Rd , Ithaca NY 14850-9568. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Raymond, Susan can be contacted via phone (607) 272-5891.Contact Information
Primary practice address
3226 Wilkins Rd
Ithaca NY 14850-9568
Phone: (607) 272-5891
Fax: (607) 272-0188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 015772 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 003419 | Connecticut |
Profile Details
| NPI number | 1376717074 |
|---|---|
| LBN Legal business name | Raymond, Susan |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Dec 15th, 2011 - about 15 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 | 1376717074 | NPPES |
| New York | Other | 015772 | OT LICENSE |
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