Individual provider · Type 1 NPI
Susan Marie Tyrrell, CRPA
Recovery Care Clinic/Center · Queensbury, NY
NPI number
1053903773
Active
Practice location
25 Willowbrook Rd
Queensbury, NY 12804-5882
Fax (518) 926-7036
Other practice locations
- 25 Willowbrook Rd, Queensbury, NY 12804-5882 · (518) 926-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recovery Care Clinic/Center Primary | 261QR0800X | None listed |
Recovery Care Clinic/Center: Definition to come...
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About NPI 1053903773
Susan Marie Tyrrell, CRPA's National Provider Identifier is 1053903773, issued on Feb 4, 2021. The primary taxonomy on file is Recovery Care Clinic/Center (261QR0800X), and the practice location is in Queensbury, NY. The record was last updated on Feb 4, 2021.