Noll, Susan Marie

Noll, Susan Marie is an individual health care provider with primary practice located at 3001 Expressway Dr N 112, Islandia NY 11749-5301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Noll, Susan Marie can be contacted via phone (631) 435-4322.

Contact Information

Primary practice address
3001 Expressway Dr N 112 Islandia NY 11749-5301
Phone: (631) 435-4322
Fax: (631) 435-3423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360052 New York

Profile Details

NPI number 1467543298
LBN Legal business name Noll, Susan Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 11th, 2016 - about 8 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 1467543298 NPPES
New York MEDICAID 02001581

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