Susser, Howard S

Susser, Howard S is an sole proprietor health care provider with primary practice located at 387 Hooker Ave , Poughkeepsie NY 12603-3631. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Susser, Howard S can be contacted via phone (845) 452-5498.

Contact Information

Primary practice address
387 Hooker Ave Poughkeepsie NY 12603-3631
Phone: (845) 452-5498
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7445 New York

Profile Details

NPI number 1205825783
LBN Legal business name Susser, Howard S
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Dec 27th, 2010 - about 16 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 1205825783 NPPES
New York MEDICAID 00845682
New York Other 0004039
New York Other 781304

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