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Contact Information

SUSAN B GREEN, RD, MPH, CDN
6846 BUCKLEY RD
NORTH SYRACUSE, NY13212-4275
 Phone: 315-410-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SUSAN B GREEN · (Female)

NPI # 1568695294
Status Active
Credentials RD, MPH, CDN
Entity Individual
Enumeration date 08/28/2009
Last updated 08/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 391052
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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