Individual
MRS. SUZANNE BUSSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
620 COLUMBUS AVE, STE 1, NEW YORK, NY 10024-1458
(212) 874-4500
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5643
(551) 996-5631
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2080A0000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ0000560
LICENSE
NJ
01
—
F381444
LICENSE
NY
Enumeration date
02/01/2007
Last updated
10/19/2016
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