Takacs, Susan

Takacs, Susan is an individual health care provider with primary practice located at 1000 Montauk Hwy Good Samaritan Hospital, West Islip NY 11795-4927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Takacs, Susan can be contacted via phone (631) 376-4109.

Contact Information

Primary practice address
1000 Montauk Hwy Good Samaritan Hospital West Islip NY 11795-4927
Phone: (631) 376-4109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 012545 New York

Profile Details

NPI number 1336315076
LBN Legal business name Takacs, Susan
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Feb 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336315076 NPPES
New York Other 012545 LISCENSE

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