Clark, Susan M

Clark, Susan M is an sole proprietor health care provider with primary practice located at 714 E Park Ave , Long Beach NY 11561-2605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Susan M can be contacted via phone (516) 431-7972.

Contact Information

Primary practice address
714 E Park Ave Long Beach NY 11561-2605
Phone: (516) 431-7972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 013274 New York

Profile Details

NPI number 1215057708
LBN Legal business name Clark, Susan M
Credentials LMT, MMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 19 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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