Petroski, Susan Lucy
Petroski, Susan Lucy is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Petroski, Susan Lucy can be contacted via phone (631) 474-6324.Contact Information
Primary practice address
200 Belle Terre Rd
Port Jefferson NY 11777-1928
Phone: (631) 474-6324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 005595-1 | New York |
Profile Details
| NPI number | 1831304781 |
|---|---|
| LBN Legal business name | Petroski, Susan Lucy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Apr 20th, 2021 - about 4 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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