Susan Lee Moench in Tully - Psychiatric/mental Health
Susan Lee Moench - NPI 1689875767
Susan Lee Moench is a Psychiatric/mental Health in Tully, New York. Susan Lee Moench practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Susan Lee Moench is 1689875767. The last update date is 2007-07-08.
Susan Lee Moench's current location address is 35 State St, Tully, New York. You can contact this provider via phone number 3156960264 and fax number 3156960264. The mailing address for Susan Lee Moench is 35 State St, Tully, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lee Moench |
|---|---|
| Address | 35 State St, Tully, New York |
| Phone Number | 3156960264 |
| Fax Number | 3156960264 |
| Sole Proprietor | Y |
| Credentials | R.N.,M.S., |
NPI Number Detail
| NPI Number | 1689875767 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 35 State St |
|---|---|
| City | Tully |
| State | New York (NY) |
| Post Code | 131593218 |
| Phone Number | 3156960264 |
| Fax Number | 3156960264 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 312927-1 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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What is the unique 10-digit identifier code assigned to Susan Lee Moench by the Centers for Medicare & Medicaid Services?
The Susan Lee Moench has been issued the NPI (National Provider Identifier) 1689875767 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan Lee Moench?
The Susan Lee Moench is situated at 35 State St, in the city of Tully, state of NY, with the zip code 131593218.
What is Susan Lee Moench's area of expertise and its corresponding taxonomy classification?
The Susan Lee Moench's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 363Lp0808X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan Lee Moench receive its 1689875767 assignment from the Centers for Medicare & Medicaid Services?
The Susan Lee Moench was assigned its 1689875767 on 2007-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Lee Moench, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Lee Moench, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1932102142
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