Raju, Suma
Raju, Suma is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Raju, Suma can be contacted via phone (718) 667-2600.Contact Information
Primary practice address
777 Seaview Ave
Staten Island NY 10305-3409
Phone: (718) 667-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 724001 | New York |
Profile Details
| NPI number | 1528561446 |
|---|---|
| LBN Legal business name | Raju, Suma |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2018 |
| Last updated | Mar 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528561446 | NPPES |
| New York | MEDICAID | 2997157 |
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