Moscou, Susan Elizabeth

Moscou, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 555 Broadway Meh 16, Dobbs Ferry NY 10522-1186. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moscou, Susan Elizabeth can be contacted via phone (914) 674-7866.

Contact Information

Primary practice address
555 Broadway Meh 16 Dobbs Ferry NY 10522-1186
Phone: (914) 674-7866
Fax: (914) 674-7623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331167 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404747 New York

Profile Details

NPI number 1841330891
LBN Legal business name Moscou, Susan Elizabeth
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Dec 22nd, 2023 - about last year

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 1841330891 NPPES
New York MEDICAID 04351135

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