Mitchell, Susan Rebecca

Mitchell, Susan Rebecca is an individual health care provider with primary practice located at 79 Grand Ave , Massapequa NY 11758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mitchell, Susan Rebecca can be contacted via phone (516) 798-3376.

Contact Information

Primary practice address
79 Grand Ave Massapequa NY 11758
Phone: (516) 798-3376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0173431 New York

Profile Details

NPI number 1508281866
LBN Legal business name Mitchell, Susan Rebecca
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2014
Last updated Mar 23rd, 2016 - about 10 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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