Wisniewski, Susan
Wisniewski, Susan is an individual health care provider with primary practice located at 1110 South Ave Suite 306, Staten Island NY 10314-3403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wisniewski, Susan can be contacted via phone (718) 370-7100.Contact Information
Primary practice address
1110 South Ave Suite 306
Staten Island NY 10314-3403
Phone: (718) 370-7100
Fax: (718) 370-7141
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 222866 | New York |
Profile Details
NPI number | 1629047675 |
---|---|
LBN Legal business name | Wisniewski, Susan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Dec 1st, 2008 - about 16 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 | 1629047675 | NPPES |
New York | MEDICAID | 02593328 |
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