Sciametta, Susanjohnna

Sciametta, Susanjohnna is an individual health care provider with primary practice located at 3 Williams Blvd Apart. 1B, Lake Grove NY 11755-2447. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Sciametta, Susanjohnna can be contacted via phone (631) 327-2455.

Contact Information

Primary practice address
3 Williams Blvd Apart. 1B Lake Grove NY 11755-2447
Phone: (631) 327-2455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 593391-1 New York

Profile Details

NPI number 1285075465
LBN Legal business name Sciametta, Susanjohnna
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2013
Last updated Jul 16th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285075465 NPPES
New York MEDICAID 593391-1

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