Watson, Susan M

Watson, Susan M is an individual health care provider with primary practice located at University Hospital, L5 , Stony Brook NY 11794-0001. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Watson, Susan M can be contacted via phone (631) 444-8211.

Contact Information

Primary practice address
University Hospital, L5 Stony Brook NY 11794-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X F381107 New York

Profile Details

NPI number 1356383392
LBN Legal business name Watson, Susan M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 17th, 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 1356383392 NPPES
New York MEDICAID 02603529

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