Individual
SUSAN MARIE TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
25 WILLOWBROOK RD, QUEENSBURY, NY 12804-5882
(518) 926-7200
(518) 926-7036
Mailing address
25 WILLOWBROOK RD, QUEENSBURY, NY 12804-5882
(518) 926-7200
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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