Sansoucie, Debra
Sansoucie, Debra is an individual health care provider with primary practice located at University Hospital, L8 , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Sansoucie, Debra can be contacted via phone (631) 444-7653.Contact Information
Primary practice address
University Hospital, L8
Stony Brook NY 11794-0001
Phone: (631) 444-7653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | F350030 | New York |
Profile Details
| NPI number | 1275577108 |
|---|---|
| LBN Legal business name | Sansoucie, Debra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275577108 | NPPES |
| New York | MEDICAID | 02057078 |
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