Petrillo, Susan Jane

Petrillo, Susan Jane is an individual health care provider with primary practice located at 39 Duncan St , Warsaw NY 14569-1017. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petrillo, Susan Jane can be contacted via phone (585) 786-0190.

Contact Information

Primary practice address
39 Duncan St Warsaw NY 14569-1017
Phone: (585) 786-0190
Fax: (585) 786-0196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R037763 New York

Profile Details

NPI number 1013049998
LBN Legal business name Petrillo, Susan Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 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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