Beren, Susan E

Beren, Susan E is an individual health care provider with primary practice located at 948 48Th St , Brooklyn NY 11219-2918. 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. Beren, Susan E can be contacted via phone (718) 283-8020.

Contact Information

Primary practice address
948 48Th St Brooklyn NY 11219-2918
Phone: (718) 283-8020
Fax: (718) 635-7235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 013612 New York

Profile Details

NPI number 1538154638
LBN Legal business name Beren, Susan E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538154638 NPPES
New York MEDICAID 02265323
New York Other 013612-A15
New York Other 149768
New York Other P2631218

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