Honore Susan Simm Petrasek in East Northport - Contractor
Honore Susan Simm Petrasek - NPI 1992830780
Honore Susan Simm Petrasek is a Contractor in East Northport, New York. Honore Susan Simm Petrasek practices all healthcare services and medical treatments related to Contractor. The NPI Number for Honore Susan Simm Petrasek is 1992830780. The last update date is 2007-07-08.
Honore Susan Simm Petrasek's current location address is 27 Catherine St, East Northport, New York. You can contact this provider via phone number 6312619145 and fax number 6312619145. The mailing address for Honore Susan Simm Petrasek is 27 Catherine St, East Northport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Honore Susan Simm Petrasek |
|---|---|
| Address | 27 Catherine St, East Northport, New York |
| Phone Number | 6312619145 |
| Fax Number | 6312619145 |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1992830780 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 27 Catherine St |
|---|---|
| City | East Northport |
| State | New York (NY) |
| Post Code | 117311318 |
| Phone Number | 6312619145 |
| Fax Number | 6312619145 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 11621 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique identification code assigned to Honore Susan Simm Petrasek by the Centers for Medicare & Medicaid Services?
The Honore Susan Simm Petrasek has been issued the NPI (National Provider Identifier) 1992830780. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Honore Susan Simm Petrasek located?
The Honore Susan Simm Petrasek is located at 27 Catherine St, East Northport, NY 117311318.
What is Honore Susan Simm Petrasek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Honore Susan Simm Petrasek is Contractor, and the corresponding taxonomy classification code for this specialized field is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992830780 to Honore Susan Simm Petrasek?
The Centers for Medicare & Medicaid Services assigned the 1992830780 to Honore Susan Simm Petrasek on 2007-02-22.
As of what date were the details related to Honore Susan Simm Petrasek most recently updated or revised?
The information pertaining to Honore Susan Simm Petrasek, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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