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Individual
SUSAN E BACH
Active
Individual
SUSAN E BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336098
NY
363LW0102X
Women's Health Nurse Practitioner
F420616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
01
—
9513196
IHA LEGACY #
—
01
—
P00246624
MEDICARE RAILROAD LEGACY#
NY
Enumeration date
05/03/2006
Last updated
01/07/2011
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