Provider Demographics
NPI:1437332053
Name:TREEN, SUZANNE LEE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:LEE
Last Name:TREEN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 W SENECA ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:13476-3635
Mailing Address - Country:US
Mailing Address - Phone:315-829-3605
Mailing Address - Fax:315-829-2708
Practice Address - Street 1:5236 W SENECA ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NY
Practice Address - Zip Code:13476-3635
Practice Address - Country:US
Practice Address - Phone:315-829-3605
Practice Address - Fax:315-829-2708
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59710183500000X
MAPH237768183500000X
NY044724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist