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Provider Information for 1497026421


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SUZANNE MILLAR KNAPP LMSW


Sex: Female

NPI: 1497026421
Last Updated: 2012-01-23
Certification Date:

Details

NameValue
NPI1497026421
Enumeration Date2012-01-23
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 362 E 10TH ST APT 3E
NEW YORK, NY 10009-4752
United States

Phone: 239-910-2205 | Fax:
 
Primary Practice Address 74 SAINT MARKS PL
NEW YORK, NY 10003-8129
United States

Phone: 212-477-1565 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker NY083719