Berg, Susan H.
Berg, Susan H. is an sole proprietor health care provider with primary practice located at 105 Whittier Pl , Port Jefferson NY 11777-1619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berg, Susan H. can be contacted via phone (631) 928-2175.Contact Information
Primary practice address
105 Whittier Pl
Port Jefferson NY 11777-1619
Phone: (631) 928-2175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 23857R | New York |
Profile Details
| NPI number | 1053449371 |
|---|---|
| LBN Legal business name | Berg, Susan H. |
| Credentials | Doctor of Social Work (DSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 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.
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