- Practice location
- 5A Medical Park Dr, Pomona, NY 10970-3516
- Phone
- 845-362-0075
- Fax
- —
- Last updated
- January 25, 2018
Susan M Dreiss-Carroll is a Physician Assistant, Medical based in Pomona, NY. Susan M Dreiss-Carroll practices in Pomona, NY and has the professional credentials of RPA-C. The NPI Number for Susan M Dreiss-Carroll is 1740288398 and holds a License No. 25MP00303300 (NJ). The current practice location address for Susan M Dreiss-Carroll is 5A Medical Park Dr, Pomona, NY 10970-3516 and can be reached out via phone at 845-362-0075.
Provider Profile Details
- NPI Number
- 1740288398
- Provider Name
- Susan M Dreiss-Carroll
- Credential
- RPA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5A Medical Park Dr, Pomona, NY 10970-3516
- Phone Number
- 845-362-0075
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 8, 2005
- Last Update Date
- January 25, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5A Medical Park Dr
Pomona, NY 10970-3516 - City
- Pomona
- State
- New York
- Zip
- 10970-3516
- Phone Number
- 845-362-0075
Provider Business Mailing Address Details
- Address
- 12 Mallory Ln
Tappan, NY 10983-1113 - City
- Tappan
- State
- NY
- Zip
- 10983-1113
- Phone Number
- 845-613-7658
License Information
- License Number (1)
- 25MP00303300
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 006895
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Susan M Dreiss-Carroll, RPA-C?
The NPI number of Susan M Dreiss-Carroll, RPA-C is 1740288398. It was assigned on July 8, 2005 and is currently active in the NPPES registry.
What is the specialty of Susan M Dreiss-Carroll, RPA-C?
Susan M Dreiss-Carroll, RPA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00303300.
Where does Susan M Dreiss-Carroll, RPA-C practice?
The practice location is 5A Medical Park Dr, Pomona, NY 10970-3516. The office can be reached at 845-362-0075 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740288398 directly on the NPPES registry website.