Fields, Suzanne
Fields, Suzanne is an individual health care provider with primary practice located at 205 N Belle Meade Rd , East Setauket NY 11733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Fields, Suzanne can be contacted via phone (631) 444-4630.Contact Information
Primary practice address
205 N Belle Meade Rd
East Setauket NY 11733
Phone: (631) 444-4630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 154129 | New York |
Profile Details
| NPI number | 1629092820 |
|---|---|
| LBN Legal business name | Fields, Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629092820 | NPPES |
| New York | Other | 5113114 | AETNA |
| New York | Other | 47D75 | AETNA |
| New York | MEDICAID | 01133366 | AETNA |
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