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Contact Information

SUZANNE PAVELOCK
90 AIRPARK DRIVE
RONKONKOMA, NY11779
 Phone: 631-580-4001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for SUZANNE PAVELOCK · (Female)

NPI Number 1740695097
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2014
Last updated 06/25/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 827294
Hospital affiliation(s) Not Available
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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