Individual
SOOSAN K JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4970
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
422200
NY
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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