Bagnini, Susan M
Bagnini, Susan M is an individual health care provider with primary practice located at 100 Oakland Ave , Port Washington NY 11050-1842. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bagnini, Susan M can be contacted via phone (516) 944-8457.Contact Information
Primary practice address
100 Oakland Ave
Port Washington NY 11050-1842
Phone: (516) 944-8457
Fax: (516) 883-3473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW#PR014949 | New York |
Profile Details
| NPI number | 1548314941 |
|---|---|
| LBN Legal business name | Bagnini, Susan M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1548314941 | NPPES |
| New York | Other | 50089 | GHI |
| New York | Other | 072575 | GHI |
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