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Contact Information

JENNY R SUSSER, PhD
775 PARK AVE
SUITE 155
HUNTINGTON, NY11743-3976
 Phone: 631-424-2587
 Fax: 631-424-8088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNY R SUSSER · (Female)

NPI Number 1346369923
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/28/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 015590
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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