Susan Kwiatkowski
Individual provider Active NPI Pharmacist · Voorheesville, NY
NPI 1255657482 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1255657482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 037615 (NY)
- Practice address
- 5 Maple Rd
Voorheesville, NY 12186-9419 - Phone
- (518) 765-4399
- Fax
- (518) 765-3846
- NPI assigned
- Apr 13, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 037615 | NY | Yes |
Addresses
Primary practice location
5 Maple Rd
Voorheesville, NY 12186-9419
Mailing address
PO Box 1000
Ms3000
Portland, ME 04104-5005
Phone (207) 885-7454
Other providers in Voorheesville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. 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.