Nissen, Susan

Nissen, Susan is an sole proprietor health care provider with primary practice located at 25 Wiltshire Dr , Commack NY 11725-3330. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nissen, Susan can be contacted via phone (516) 521-4148.

Contact Information

Primary practice address
25 Wiltshire Dr Commack NY 11725-3330
Phone: (516) 521-4148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010793-1 New York

Profile Details

NPI number 1518015650
LBN Legal business name Nissen, Susan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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