Doctor Name: | SUZANNE KOREN BARTLETT |
NPI Number: | 1992050637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 319884-1 |
Business Practice Address: | 744 Sherman Ave Thornwood, NY - 105941421 |
Business Phone Number: | 9147690722 |
Business Fax Number: | 9148312693 |
Mailing Address: | 744 Sherman Ave, THORNWOOD |
State: | NY |
Postal Code: | 105941421 |
Phone Number: | 9147690722 |
Fax Number: | 9148312693 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 319884-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |