Search › New York › 1041C0700X
Joanna Suppa, LCSW
NPI 1730482415 · on the registry since 2010 · sole proprietor
Practice
- Address
- 621 Elmont Rd
Elmont, NY 11003 - Phone
- (516) 616-0671
- Organisation at this address
- Martin De Porres
Martin De Porres
Martin De Porres School For Exceptional Children, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York