Martello-Gill, Susan

Martello-Gill, Susan is an individual health care provider with primary practice located at 1414 Wantagh Ave , Wantagh NY 11793-2204. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Martello-Gill, Susan can be contacted via phone (516) 221-2123.

Contact Information

Primary practice address
1414 Wantagh Ave Wantagh NY 11793-2204
Phone: (516) 221-2123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F381822-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F381822-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X F381822 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401234 New York

Profile Details

NPI number 1598087363
LBN Legal business name Martello-Gill, Susan
Credentials MSN, FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Mar 23rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598087363 NPPES
New York MEDICAID 03385595

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