Suzanne Marie Riggs

Individual provider Active NPI Early Intervention Provider Agency · Neponsit, NY

NPI 1831332337 · NPPES record last updated Apr 13, 2009

Key facts

NPI
1831332337
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
PENDING (NY)
Practice address
14116 Cronston Ave
Neponsit, NY 11694-1120
Phone
(718) 634-0312
Fax
(718) 474-2368
NPI assigned
Apr 13, 2009
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
PENDINGNYMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X PENDING NY Yes

Addresses

Primary practice location

14116 Cronston Ave
Neponsit, NY 11694-1120

Mailing address

14116 Cronston Ave
Neponsit, NY 11694-1120
Phone (718) 634-0312

Other providers in Neponsit, NY

All providers in Neponsit, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.