Russell, Suzanne M
Russell, Suzanne M is an individual health care provider with primary practice located at 401 Main St , Islip NY 11751-3560. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Russell, Suzanne M can be contacted via phone (631) 224-5330.Contact Information
Primary practice address
401 Main St
Islip NY 11751-3560
Phone: (631) 224-5330
Fax: (631) 224-1206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 266869 | New York |
Profile Details
| NPI number | 1861633679 |
|---|---|
| LBN Legal business name | Russell, Suzanne M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2009 |
| Last updated | Mar 9th, 2009 - about 15 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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