Individual
AMI-LYN SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24510 GRAND CENTRAL PKWY APT 2L, BELLEROSE, NY 11426-2702
(917) 603-4291
Mailing address
24510 GRAND CENTRAL PKWY APT 2L, BELLEROSE, NY 11426-2702
(917) 603-4291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105319
NY
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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