Donelan, Susan
Donelan, Susan is an individual health care provider with primary practice located at 205 N Belle Mead Rd , Stony Brook NY 11794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Donelan, Susan can be contacted via phone (631) 444-1660.Contact Information
Primary practice address
205 N Belle Mead Rd
Stony Brook NY 11794
Phone: (631) 444-1660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 177763 | New York |
Profile Details
| NPI number | 1285659292 |
|---|---|
| LBN Legal business name | Donelan, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 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 | 1285659292 | NPPES |
| New York | Other | 5856056 | AETNA |
| New York | Other | 37K50 | AETNA |
| New York | MEDICAID | 01344178 | AETNA |
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