Mammen, Mini Susan

Mammen, Mini Susan is an individual health care provider with primary practice located at 310 E Shore Rd , Great Neck NY 11023-2410. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mammen, Mini Susan can be contacted via phone (516) 482-8657.

Contact Information

Primary practice address
310 E Shore Rd Great Neck NY 11023-2410
Phone: (516) 482-8657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X F344251 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F344251 New York

Profile Details

NPI number 1780241398
LBN Legal business name Mammen, Mini Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated Nov 11th, 2019 - about 7 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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