Individual
MRS. SUZANNE MARGARET KONTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, ANP-C, RN
Contact information
Practice address
939 JOHNSON AVE, RONKONKOMA, NY 11779-6066
(631) 471-7242
(631) 471-5150
Mailing address
939 JOHNSON AVE, RONKONKOMA, NY 11779-6066
(631) 471-7242
(631) 471-5150
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F306884-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402191-1
NY
Other
Enumeration date
05/20/2014
Last updated
01/07/2020
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