Von Gerichten, Susan

Von Gerichten, Susan is an individual health care provider with primary practice located at 307 Collington Dr , Ronkonkoma NY 11779-4914. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Von Gerichten, Susan can be contacted via phone (631) 648-0699.

Contact Information

Primary practice address
307 Collington Dr Ronkonkoma NY 11779-4914
Phone: (631) 648-0699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 555353-1 New York

Profile Details

NPI number 1720260359
LBN Legal business name Von Gerichten, Susan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Jan 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720260359 NPPES
New York MEDICAID 555353-1

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