MEDICARE: SUSAN Z. SHEBELSKY CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN185046L	PA

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	:	1811951239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN Z. SHEBELSKY CRNA

Provider Business Mailing Address
First Line	:	68 S SERVICE RD
Second Line	:	SUITE 350
City	:	MELVILLE
State	:	NY
Zip	:	11747-2354
Country	:	US
Telephone Number	:	516-945-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 E BROWN ST
Second Line	:	NORTH AMERICAN PARTNERS IN ANESTHESIA, PA, LLC
City	:	E STROUDSBURG
State	:	PA
Zip	:	18301-3006
Country	:	US
Telephone Number	:	570-421-4000
Fax Number	:	570-476-3754

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	11/02/2009

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