Dubourg, Susan A

Dubourg, Susan A is an sole proprietor health care provider with primary practice located at 43 Oaklawn Ave # 1A , Glen Head NY 11545-1621. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dubourg, Susan A can be contacted via phone (917) 846-3861.

Contact Information

Primary practice address
43 Oaklawn Ave # 1A Glen Head NY 11545-1621
Phone: (917) 846-3861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 103167-1 New York

Profile Details

NPI number 1982233011
LBN Legal business name Dubourg, Susan A
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2020
Last updated Apr 1st, 2020 - about 6 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.

Request for update

Popular Providers