Dagostino, Susan

Dagostino, Susan is an individual health care provider with primary practice located at 40 Hart St , New Britain CT 06052-1743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dagostino, Susan can be contacted via phone (860) 229-0100.

Contact Information

Primary practice address
40 Hart St New Britain CT 06052-1743
Phone: (860) 229-0100
Fax: (860) 225-2647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X E50759 Connecticut

Profile Details

NPI number 1093743908
LBN Legal business name Dagostino, Susan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 7th, 2009 - 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 1093743908 NPPES
Connecticut Other 400001941CT01 BLUE CROSS
Connecticut Other 194100 BLUE CROSS
Connecticut Other 500008445 BLUE CROSS

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