Provider Demographics
NPI:1770885469
Name:JARMEL, SUSAN (LPT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:JARMEL
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E GENESEE ST
Mailing Address - Street 2:HILL MEDICAL CENTER SUITE 202
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1892
Mailing Address - Country:US
Mailing Address - Phone:315-314-7834
Mailing Address - Fax:315-299-7473
Practice Address - Street 1:1000 E GENESEE ST
Practice Address - Street 2:HILL MEDICAL CENTER SUITE 202
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1892
Practice Address - Country:US
Practice Address - Phone:315-314-7834
Practice Address - Fax:315-299-7473
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005101-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005101-1OtherTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPT. OFFICE OF PROFESSIONS