MEDICARE: SUSAN G RINER ANP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	3025261	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194729921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN G RINER ANP-C

Provider Business Mailing Address
First Line	:	229 SUMMIT ST
Second Line	:	STE 1
City	:	BATAVIA
State	:	NY
Zip	:	14020-1645
Country	:	US
Telephone Number	:	585-343-4440
Fax Number	:	585-343-0381

Provider Business Practice Location Address
First Line	:	229 SUMMIT ST
Second Line	:	STE 1
City	:	BATAVIA
State	:	NY
Zip	:	14020-1645
Country	:	US
Telephone Number	:	585-343-4440
Fax Number	:	585-343-0381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/27/2010

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