Provider Demographics
NPI:1043542004
Name:HOWARD, SUZANNE BAKER (RN,BSN)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:BAKER
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 CLOCK TOWER COMMONS
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4064
Mailing Address - Country:US
Mailing Address - Phone:845-278-4068
Mailing Address - Fax:
Practice Address - Street 1:614 CLOCK TOWER COMMONS
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4064
Practice Address - Country:US
Practice Address - Phone:845-278-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262694163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse