Susser, Jenny Rebecca

Susser, Jenny Rebecca is an sole proprietor health care provider with primary practice located at 775 Park Ave Suite 155, Huntington NY 11743-3976. She recently has only one registered license in Behavioral Health & Social Service Providers / Exercise & Sports, which is considered as her primary health care specialty. Susser, Jenny Rebecca can be contacted via phone (631) 424-2587.

Contact Information

Primary practice address
775 Park Ave Suite 155 Huntington NY 11743-3976
Phone: (631) 424-2587
Fax: (631) 424-8088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 015590 New York

Profile Details

NPI number 1346369923
LBN Legal business name Susser, Jenny Rebecca
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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