Samuel, Susan Ba

Samuel, Susan Ba is an individual health care provider with primary practice located at 12722 Hawtree Creek Rd , South Ozone Park NY 11420-1632. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Samuel, Susan Ba can be contacted via phone (917) 324-7592.

Contact Information

Primary practice address
12722 Hawtree Creek Rd South Ozone Park NY 11420-1632
Phone: (917) 324-7592
Fax: (347) 644-5737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1275786832
LBN Legal business name Samuel, Susan Ba
Credentials P.D,SAS, SDA, MS.ED
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Sep 27th, 2012 - about 12 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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