Cocoziello, Susan Pakravan
Cocoziello, Susan Pakravan is an sole proprietor health care provider with primary practice located at 1 Broadway Suite 105, Elmwood Park NJ 07407-1842. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cocoziello, Susan Pakravan can be contacted via phone (201) 773-6777.Contact Information
Primary practice address
1 Broadway Suite 105
Elmwood Park NJ 07407-1842
Phone: (201) 773-6777
Fax: (201) 300-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1073687356 |
|---|---|
| LBN Legal business name | Cocoziello, Susan Pakravan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Sep 6th, 2019 - about 7 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 | 1073687356 | NPPES |
| New Jersey | MEDICAID | 1915908 |
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