Mrs Susan B Green, RD, MPH, CDN is a
Dietitian, Registered - Nutrition, Renal based in N Syracuse, New York. Mrs Susan B Green is licensed to practice in New York (license number 391052) and her current practice location is
6846 Buckley Rd, N Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 410-6400.
NPI number for Mrs Susan B Green is 1568695294 and her current mailing address is 6846 Buckley Road, N. Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568695294.
Healthcare Provider's Profile
Full Name | Mrs Susan B Green |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Renal |
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Location | 6846 Buckley Rd, N Syracuse, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568695294
- Provider Enumeration Date: 08/28/2009
- Last Update Date: 08/28/2009
Medical Identifiers
Medical identifiers for Mrs Susan B Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568695294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1005X | Dietitian, Registered - Nutrition, Renal | 391052 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan B Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Susan B Green, RD, MPH, CDN 6846 Buckley Road, N. Syracuse, NY 13212 Ph: (315) 410-6400 | Mrs Susan B Green, RD, MPH, CDN 6846 Buckley Rd, N Syracuse, NY 13212-4275 Ph: (315) 410-6400 |
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