Ingram, Susan

Ingram, Susan is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-1651. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ingram, Susan can be contacted via phone (631) 638-1000.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794-1651
Phone: (631) 638-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 704126-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 310911 New York

Profile Details

NPI number 1952779878
LBN Legal business name Ingram, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 23rd, 2022 - about 4 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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