Jacobson, Susan
Jacobson, Susan is an sole proprietor health care provider with primary practice located at 310 E Shore Rd Suite 301, Great Neck NY 11023-2410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jacobson, Susan can be contacted via phone (516) 661-6666.Contact Information
Primary practice address
310 E Shore Rd Suite 301
Great Neck NY 11023-2410
Phone: (516) 661-6666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 010031 | New York |
Profile Details
| NPI number | 1730316167 |
|---|---|
| LBN Legal business name | Jacobson, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2009 |
| Last updated | Jun 11th, 2009 - about 17 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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