Nissle, Susan

Nissle, Susan is an sole proprietor health care provider with primary practice located at 23 Green St Ste 107, Huntington NY 11743-3336. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Nissle, Susan can be contacted via phone (646) 504-7228.

Contact Information

Primary practice address
23 Green St Ste 107 Huntington NY 11743-3336
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 4882 New York

Profile Details

NPI number 1922351204
LBN Legal business name Nissle, Susan
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2012
Last updated Jun 4th, 2014 - about 11 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.

Request for update

Popular Providers