Individual provider · Type 1 NPI

Susan Jane Ethier

Specialist · Forest Hills, NY

NPI number 1396272597 Active

Practice location

7000 Austin St # 202
Forest Hills, NY 11375-1022

Call (631) 385-7780 Map

Mailing address

112 Burr Ave
Northport, NY 11768-2003

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396272597

Susan Jane Ethier's National Provider Identifier is 1396272597, issued on May 18, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 21, 2022.