Individual
SUZANNE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MYRTLE AVE, PINE PLAINS, NY 12567-5610
(845) 337-0389
Mailing address
18 MYRTLE AVE, PINE PLAINS, NY 12567-5610
(845) 337-0389
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
543411-1
NY
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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