| NPI | 1871866178 |
|---|---|
| Former Legal Business Name | SUSAN NEISTEIN M.S.N., A.P.R.N., LLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN L NEISTEIN Owner 860-242-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 01447) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |