Individual
SUSAN T FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
438 E BEECH ST, LONG BEACH, NY 11561-3604
(516) 432-7533
(516) 432-7533
Mailing address
438 E BEECH ST, LONG BEACH, NY 11561-3604
(516) 432-7533
(516) 432-7533
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NY
171W00000X
Contractor
—
NY
174400000X
Specialist
—
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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