SUSAN E BACH FNP-C NPI 1124086707

NPI Information

NPI: 1124086707
Provider Name: SUSAN E BACH, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3435 MAIN ST
HEALTH SERVICES MICHAEL HALL
BUFFALO, NY
ZIP 14214
Phone: (716) 829-3316
Get Directions

Susan E Bach, FNP-C is a family nurse practitioner in Buffalo, NY. Susan E Bach, FNP-C NPI is 1124086707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3435 MAIN ST
HEALTH SERVICES MICHAEL HALL
BUFFALO, NY
ZIP 14214-001
Phone: (716) 829-3316
Fax: (716) 829-2564

The NPI 1124086707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	F420616	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	F336098	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD3790	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	P00246624	OTHER	NEW YORK	MEDICARE RAILROAD LEGACY#
3	9513196	OTHER		IHA LEGACY #
4	S85403	MEDICARE UPIN
5	00355266	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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