Duckham, Susan

Duckham, Susan is an individual health care provider with primary practice located at 1 Scouting Blvd , Medford NY 11763-2220. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Duckham, Susan can be contacted via phone (631) 297-3200.

Contact Information

Primary practice address
1 Scouting Blvd Medford NY 11763-2220
Phone: (631) 297-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1487915336
LBN Legal business name Duckham, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 14 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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