Provider Demographics
NPI:1467845222
Name:SEET, SUSY (LIC ACU)
Entity Type:Individual
Prefix:
First Name:SUSY
Middle Name:
Last Name:SEET
Suffix:
Gender:F
Credentials:LIC ACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 QUEENS BLVD
Mailing Address - Street 2:1 V
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4301
Mailing Address - Country:US
Mailing Address - Phone:917-599-6625
Mailing Address - Fax:
Practice Address - Street 1:10615 QUEENS BLVD
Practice Address - Street 2:1 V
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4301
Practice Address - Country:US
Practice Address - Phone:917-599-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005505171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist