Susaye Smith, | |
329 Glenmont Rd, Glenmont, NY 12077-3469 | |
(518) 755-4396 | |
Not Available |
Full Name | Susaye Smith |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 329 Glenmont Rd, Glenmont, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588438725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F352934 (New York) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366872244 PECOS PAC ID: 1759293111 Enrollment ID: O20140502000037 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1366872244 PECOS PAC ID: 1759293111 Enrollment ID: O20150618001757 |
Mailing Address | Practice Location Address |
---|---|
Susaye Smith, 911 Central Ave Ste 224, Albany, NY 12206-1350 Ph: () - | Susaye Smith, 329 Glenmont Rd, Glenmont, NY 12077-3469 Ph: (518) 755-4396 |
Elizabeth Chapman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 York Rd, Glenmont, NY 12077 Phone: 919-244-1102 | |
Katelyn Naske Dwon, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 329 Glenmont Rd, Glenmont, NY 12077 Phone: 518-264-9000 |