| NPI Details | |
|---|---|
| NPI | 1730274028 |
| Gender | Female |
| Enumeration Date | 10/04/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 114 S. SHORE RD OLD FORGE NY, 13420-0310, US |
|
| Phone | (315) 369-6619 |
| Fax | (313) 536-9653 |
| Business Location | |
|---|---|
| PO BOX 310 OLD FORGE NY, 13420-0310, US |
|
| Phone | (315) 369-6619 |
| Fax | (315) 369-6533 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | New York |
| License Number | 007287 |
| Remove 1730274028 NPI Number | |
According to our database, Susan G Rundell RPT NPI is 1730274028, taxonomy code is 225100000X and license number is 007287, license state is located at New York. Susan G Rundell RPT physically located at 114 S. Shore Rd, Old Forge NY, 13420-0310. NPI Number Susan G Rundell RPT has the Individual type.
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1730274028 NPI number is provided on an as is basis without warranty of any kind. 1730274028 is maintained by the National Plan & Provider Enumeration System. The contents of Susan G Rundell RPT are for informational purposes only.
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