George, Susan

George, Susan is an sole proprietor health care provider with primary practice located at 900 Walt Whitman Rd Suite 202, Melville NY 11747. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. George, Susan can be contacted via phone (631) 271-7206.

Contact Information

Primary practice address
900 Walt Whitman Rd Suite 202 Melville NY 11747
Fax: (631) 271-7207
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 215404 New York

Profile Details

NPI number 1568421154
LBN Legal business name George, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Feb 19th, 2018 - about 6 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 1568421154 NPPES
New York MEDICAID 02231730

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