Individual provider · Type 1 NPI

Susan Bjorneby

Specialist · Port Jefferson Station, NY

NPI number 1548136138 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

19 Ledgewood Cir
East Setauket, NY 11733-1152

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1760040231 (NY)

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 1548136138

Susan Bjorneby's National Provider Identifier is 1548136138, issued on Oct 13, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 13, 2025.