Suzanne J Ennis (NPI# 1912914383, PAC ID# 9436331360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1912914383 |
| PAC ID by PECOS | 9436331360 |
| Professional Enrollment ID | I20110314000346 |
| Full Name | Suzanne J Ennis |
| Address |
5 Blueberry Ridge Rd Setauket NY 11733-1503 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5 Blueberry Ridge Rd, Setauket, NY 11733-1503 |
| Street Address |
5 BLUEBERRY RIDGE RD |
| City | SETAUKET |
| State | NY |
| Zip | 11733-1503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernice Kornfield Premisler | Clinical Social Worker | 764 Route 25a 8, East Setauket, NY 11733-1231 | |
| Susan G Simms | Clinical Social Worker | 16 Storybook Ln, East Setauket, NY 11733-1727 | |
| Kathleen Rogers | Clinical Social Worker | 3 Fox Hollow Rd, East Setauket, NY 11733-1811 | |
| Natalie L Shapiro | Clinical Social Worker | 14 Thornwood Way, East Setauket, NY 11733-1825 | |
| Charles Levine | Chiropractic | 151 Gnarled Hollow Rd, East Setauket, NY 11733-1955 | |
| James E Townsend | Psychiatry | 100 S Jersey Ave, Suite 1, East Setauket, NY 11733-2035 | |
| Nancy M Rosenberg | Clinical Social Worker | 100 S Jersey Ave, Unit 1, East Setauket, NY 11733-2035 | |
| John A Ippolito | Rheumatology | 100 S Jersey Ave, Unit 19, Setauket, NY 11733-2036 | |
| Christopher Ng | Family Medicine | 100 S Jersey Ave, Suite 14, Setauket, NY 11733-2036 | |
| Donna E Friedman | Psychologist, Clinical | 100 S Jersey Ave, Unit 21, East Setauket, NY 11733-2036 | |
| Find all physicians in zip 11733 | |||
| City | SETAUKET |
| Zip Code | 11733 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SETAUKET + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Suzanne J Ennis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.