Short, Susanne

Short, Susanne is an sole proprietor health care provider with primary practice located at 952 5Th Ave 5C, New York NY 10021-1740. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Short, Susanne can be contacted via phone (646) 610-1921.

Contact Information

Primary practice address
952 5Th Ave 5C New York NY 10021-1740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 000629 New York

Profile Details

NPI number 1225243504
LBN Legal business name Short, Susanne
Credentials NCPSYA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225243504 NPPES
New York Other 000629 STATE PSYCHOANALYTIC LISE

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