Kelly, Suzanne

Kelly, Suzanne is an sole proprietor health care provider with primary practice located at 65 Middle Rd , Blue Point NY 11715-1918. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kelly, Suzanne can be contacted via phone (631) 949-5289.

Contact Information

Primary practice address
65 Middle Rd Blue Point NY 11715-1918
Phone: (631) 949-5289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1649532250
LBN Legal business name Kelly, Suzanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2012
Last updated Jun 10th, 2012 - about 13 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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