Susan M Bay, LPN
Individual provider Active NPI Licensed Practical Nurse · Carmel, NY
NPI 1215088489 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1215088489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 170667-1 (NY)
- Practice address
- 4 Glass LN
Carmel, NY 10512-3507 - Phone
- (845) 225-5699
- NPI assigned
- Jan 15, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 170667-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 170667-1 | NY | Yes |
Addresses
Primary practice location
4 Glass LN
Carmel, NY 10512-3507
Mailing address
4 Glass LN
Carmel, NY 10512-3507
Phone (845) 225-5699
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01115911 | Medicaid | NY |
Other providers in Carmel, NY
- Patricia E Basani
- Diana Basini
- Alfred Scott Bassin
- Richard J Batistta
- Jonathan Hugh Bauman
- Bear Medical Primary Care PLLC
- Michael Manuel Becerril
- Rachel Beck
- Lesley Becker-Aaron
- Kimmarie Beckwith
All providers in Carmel, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.