Mrs. Susan L Gouldson
Occupational Therapist - Pediatrics
1428 5th Avenue
Bay Shore
, New York 11706-4153
Mrs. Susan L Gouldson
Occupational Therapist - Pediatrics
1428 5th Avenue
Bay Shore
, New York 11706-4153
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Susan L Gouldson
- 10 Harbourpoint Drive
- Northport, NY
- Zip : 11768-1556
- Phone :
Second Address
- Mrs. Susan L Gouldson
- 1428 5th Avenue
- Bay Shore, NY
- Zip : 11706-4153
- Phone : (631) 665-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 013457-1 | NY |
National Provider Identifier
| NPI | 1033412788 |
|---|---|
| Provider Name | Mrs. Susan L Gouldson |
| First Address | Northport, NY 11768-1556 |
| Second Address | Bay Shore, NY 11706-4153 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2010 |
| Last Update Date | 17/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.