Individual
SUSAN RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 FORD ST, OGDENSBURG, NY 13669-1747
(315) 854-5981
Mailing address
925 FORD ST, OGDENSBURG, NY 13669-1747
(315) 854-5981
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
292781988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04193326
—
NY
Enumeration date
09/16/2016
Last updated
09/16/2016
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