Ross, Susan

Ross, Susan is an sole proprietor health care provider with primary practice located at 90 Air Park Dr , Ronkonkoma NY 11779-7360. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ross, Susan can be contacted via phone (631) 580-4000.

Contact Information

Primary practice address
90 Air Park Dr Ronkonkoma NY 11779-7360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X New York

Profile Details

NPI number 1871630301
LBN Legal business name Ross, Susan
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 25th, 2007 - about 19 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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