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SCOTT E SUSSMAN, NP – NPI #1720153570
Family


Contact Information

SCOTT E SUSSMAN, NP
325 MIDDLE COUNTRY ROAD
SUITE 6
SELDEN, NY11784
 Phone: 631-732-4300
 Fax: 631-732-4392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty
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NPI Profile & details for SCOTT E SUSSMAN · (Male)

NPI Number 1720153570
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/21/2006
Last updated 12/24/2009 - About 5 years ago
Sole proprietor 1 No
Identifiers
NY License # F334083
NY Medicare UPIN Q09139
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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