Individual
DR. SUSANE FRITH-HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP, AGACNP
Contact information
Practice address
11714 228TH ST, CAMBRIA HEIGHTS, NY 11411-1720
(917) 856-3100
Mailing address
11714 228TH ST, CAMBRIA HTS, NY 11411-1720
(917) 856-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
F432306
NY
363LF0000X
Family Nurse Practitioner
F344328
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407110
NY
Other
Enumeration date
11/21/2020
Last updated
12/11/2025
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