Individual
SUSAN J DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 BICYCLE PATH, PORT JEFFERSON STATION, NY 11776-3409
(516) 521-2259
Mailing address
120 PATCHOGUE RD, RONKONKOMA, NY 11779-5719
(631) 648-8704
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
372600000X
NY
Other
Enumeration date
04/11/2012
Last updated
05/01/2012
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