Mazzola, Susan

Mazzola, Susan is an individual health care provider with primary practice located at 2277 Grand Ave , Baldwin NY 11510-3148. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mazzola, Susan can be contacted via phone (516) 377-5400.

Contact Information

Primary practice address
2277 Grand Ave Baldwin NY 11510-3148
Phone: (516) 377-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R042590 New York

Profile Details

NPI number 1972636728
LBN Legal business name Mazzola, Susan
Credentials LCSWR
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 16th, 2015 - about 10 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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