Mraz, Susan

Mraz, Susan is an sole proprietor health care provider with primary practice located at 256 Fir Grove Rd , Ronkonkoma NY 11779-4816. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Mraz, Susan can be contacted via phone (631) 245-9316.

Contact Information

Primary practice address
256 Fir Grove Rd Ronkonkoma NY 11779-4816
Phone: (631) 245-9316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1477194660
LBN Legal business name Mraz, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2019
Last updated Sep 30th, 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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