Individual
MS. SUSAN M TREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722
(631) 650-2510
Mailing address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
525012
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402351
LICENSE NUMBER
NY
Enumeration date
07/08/2010
Last updated
05/16/2019
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