Suzanne M Oneal, LPN

Individual provider Active NPI Licensed Practical Nurse · Vernon, NY

NPI 1013631332 · NPPES record last updated Sep 29, 2022

Key facts

NPI
1013631332
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
235667-01 (NY)
Practice address
4903 Indiantown Rd
Vernon, NY 13476-3513
Phone
(315) 525-5358
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
235667-01NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 235667-01 NY Yes

Addresses

Primary practice location

4903 Indiantown Rd
Vernon, NY 13476-3513

Mailing address

4903 Indiantown Rd
Vernon, NY 13476-3513
Phone (315) 525-5358

Other providers in Vernon, NY

All providers in Vernon, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.