Doctor Name: | MRS. SUSAN MACMILLAN RIOUX |
NPI Number: | 1215244223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 276781-1 |
Business Practice Address: | 736 Irving Ave Educational Services Dept Syracuse, NY - 132101687 |
Business Phone Number: | 3154707801 |
Business Fax Number: | 3154702764 |
Mailing Address: | 736 Irving Ave, Educational Services Dept SYRACUSE |
State: | NY |
Postal Code: | 132101687 |
Phone Number: | 3154707801 |
Fax Number: | 3154702764 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 276781-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |