Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susanna N Ivask

Individual provider Licensed Practical Nurse · NPI 1679411540

Susanna N Ivask is a Licensed Practical Nurse in Glen Cove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
Specialties on file
2

Practice location Address checks out

25 Cove St Apt 1
Glen Cove, NY 11542-2787
Phone: (631) 275-3862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 005752 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 355529 (NY)

Record details

NPI number1679411540
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address25 Cove St Apt 1, Glen Cove, NY 11542-2787

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