Adubato, Susan Ann
Adubato, Susan Ann is an individual health care provider with primary practice located at 30 Bergen St Admc 1608, Newark NJ 07107-3000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Adubato, Susan Ann can be contacted via phone (973) 972-7717.Contact Information
Primary practice address
30 Bergen St Admc 1608
Newark NJ 07107-3000
Phone: (973) 972-7717
Fax: (973) 972-6556
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 35SI00226100 | New Jersey |
Profile Details
NPI number | 1730224601 |
---|---|
LBN Legal business name | Adubato, Susan Ann |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2007 |
Last updated | Aug 14th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730224601 | NPPES |
New Jersey | MEDICAID | 1574701 |
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