Ellenis, Susan Ann

Ellenis, Susan Ann is an sole proprietor health care provider with primary practice located at 25 Brian Ln , East Northport NY 11731-3810. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ellenis, Susan Ann can be contacted via phone (631) 486-1079.

Contact Information

Primary practice address
25 Brian Ln East Northport NY 11731-3810
Phone: (631) 486-1079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4719 New York

Profile Details

NPI number 1609146588
LBN Legal business name Ellenis, Susan Ann
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2012
Last updated Jan 9th, 2012 - about 12 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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