Individual
MISS CHARLES SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 351-5530
(718) 351-5639
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 351-5530
(718) 351-5639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
134182492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134182492
—
NY
Enumeration date
12/12/2011
Last updated
12/12/2011
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