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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1285659292 NPPES
New York Other 5856056 AETNA
New York Other 37K50 AETNA
New York MEDICAID 01344178 AETNA

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