Debevoise, Susan

Debevoise, Susan is an individual health care provider with primary practice located at 181 N Belle Mead Rd , East Setauket NY 11733-3495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Debevoise, Susan can be contacted via phone (631) 444-0624.

Contact Information

Primary practice address
181 N Belle Mead Rd East Setauket NY 11733-3495
Phone: (631) 444-0624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 188694 New York

Profile Details

NPI number 1144258591
LBN Legal business name Debevoise, Susan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1144258591 NPPES
New York Other 5359169 AETNA
New York MEDICAID 01397066 AETNA
New York Other 13L20 AETNA

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