SUSAN MARIE TYRRELL CRPA
NPI 1053903773
Clinic/Center - Recovery Care in Queensbury, NY

Active since February 04, 2021
25 WILLOWBROOK RD, QUEENSBURY, NY 12804(518) 926-7200(518) 926-7036 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Marie Tyrrell Crpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MARIE TYRRELL CRPA (NPI 1053903773) is an individual recovery care provider in Queensbury, New York and active in the NPI registry since February 2021. She maintains a secondary practice location in Queensbury.

NPPES Registry Identity

NPI1053903773
Entity TypeIndividualFemale
Primary Taxonomy261QR0800X
Provider Legal NameSUSAN MARIE TYRRELLCredential: CRPA
Location Address25 WILLOWBROOK RDQueensbury, NY 12804-5882
Mailing Address25 Willowbrook RdQueensbury, NY 12804-5882 · (518) 926-7200
Fax(518) 926-7036
Sole ProprietorYes
Enumeration DateFebruary 4, 2021
NPPES CertifiedDecember 29, 2020
NPI 1053903773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
25 WILLOWBROOK RD, Queensbury, NY 12804

Secondary Practice Location 1

Location 125 Willowbrook RdQueensbury, NY 12804-5882 · Phone (518) 926-7200 ext. 3137

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Counselor (Mental Health)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Physician Assistant (Surgical)
25 WILLOWBROOK RD, SUITE 2
QUEENSBURY, NY 12804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Tyrrell's NPI number?

The NPI number for Susan Tyrrell is 1053903773. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Susan Tyrrell located?

Susan Tyrrell practices at 25 Willowbrook Rd, Queensbury, NY 12804. The listed phone number is (518) 926-7200.

What is Susan Tyrrell's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Susan Tyrrell was last updated on February 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.