Mayernik, Susanne

Mayernik, Susanne is an individual health care provider with primary practice located at 1 Houghton Blvd , Stony Brook NY 11790-1510. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mayernik, Susanne can be contacted via phone (631) 689-1965.

Contact Information

Primary practice address
1 Houghton Blvd Stony Brook NY 11790-1510
Phone: (631) 689-1965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 493053 New York

Profile Details

NPI number 1972760122
LBN Legal business name Mayernik, Susanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated May 16th, 2008 - 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 1972760122 NPPES
New York MEDICAID 01986227

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