Vargas, Susan L

Vargas, Susan L is an sole proprietor health care provider with primary practice located at 48 Swan Ln , Brentwood NY 11717-6804. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Vargas, Susan L can be contacted via phone (631) 434-2467.

Contact Information

Primary practice address
48 Swan Ln Brentwood NY 11717-6804
Phone: (631) 434-2467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 141459 New York
Nursing Service Providers / Pediatrics 163WP0200X 354149 New York
Nursing Service Providers / Registered Nurse 163W00000X 3451491 New York

Profile Details

NPI number 1578744462
LBN Legal business name Vargas, Susan L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2007
Last updated Jan 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578744462 NPPES
New York MEDICAID 01512014

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