SUSAN INGRAM

STONY BROOK, NY
NPI1952779878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: NY  310911)
Additional Taxonomies163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: NY  704126-1)
Enumeration Date2015-09-09
Last Update Date2022-09-23
Business Address
SUSAN INGRAM
101 NICOLLS RD
STONY BROOK, NY 11794-1651
Phone number: 631-638-1000
Mailing Address
SUSAN INGRAM
39 CLARENDON ST
DIX HILLS, NY 11746-6933
Phone number: 631-433-9284