Byrne, Susan
Byrne, Susan is an individual health care provider with primary practice located at 1490 Wm Floyd Parkway , Shirley NY 11980. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Byrne, Susan can be contacted via phone (631) 924-3741.Contact Information
Primary practice address
1490 Wm Floyd Parkway
Shirley NY 11980
Phone: (631) 924-3741
Fax: (631) 924-2413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 044196 | New York |
Profile Details
| NPI number | 1851483879 |
|---|---|
| LBN Legal business name | Byrne, Susan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851483879 | NPPES |
| New York | MEDICAID | 00659412 |
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