Individual
BEA PALADINO SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
232 WINDWARD CT N, PORT JEFFERSON, NY 11777-2321
(631) 331-0796
Mailing address
232 WINDWARD COURT NORTH, PORT JEFFERSON, NY 11777
(631) 331-0796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691989-1
NY
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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