Stopek, Susan Ellen
Stopek, Susan Ellen is an individual health care provider with primary practice located at 210 N Belle Mead Rd , East Setauket NY 11733-3458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Stopek, Susan Ellen can be contacted via phone (631) 689-1400.Contact Information
Primary practice address
210 N Belle Mead Rd
East Setauket NY 11733-3458
Phone: (631) 689-1400
Fax: (631) 689-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 135958 | New York |
Profile Details
| NPI number | 1073559308 |
|---|---|
| LBN Legal business name | Stopek, Susan Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073559308 | NPPES |
| New York | Other | 064846 | VYTRA |
| New York | Other | P560482 | VYTRA |
| New York | MEDICAID | 00804435 | VYTRA |
| New York | Other | 74A711 | VYTRA |
| New York | Other | 0067035 | VYTRA |
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