Desai, Susan

Desai, Susan is an sole proprietor health care provider with primary practice located at 79 Middleville Road , Northport NY 11768. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Desai, Susan can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
79 Middleville Road Northport NY 11768
Phone: (631) 261-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1174619779
LBN Legal business name Desai, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 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.

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