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NPI Code Detail

MEDICARE: SUSAN A BROWNE CASAC

MEDICARE:   SUSAN A BROWNE  CASAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor8950NY

General Provider Information

NPI Number : 1689816381
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN A BROWNE CASAC
Provider Business Mailing Address
First Line : 329 N SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1755
Country : US
Telephone Number : 315-471-1564
Fax Number : 315-422-2734
Provider Business Practice Location Address
First Line : 329 N SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1755
Country : US
Telephone Number : 315-471-1564
Fax Number : 315-422-2734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2009
Last Update Date : 04/11/2024

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Directions to “ SUSAN A BROWNE CASAC” Practice Location

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