Individual
SUSAN FARELLA-BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 ROCKAWAY AVE, SUITE 206, HEWLETT, NY 11557-1665
(516) 792-5683
(516) 594-4053
Mailing address
1800 ROCKAWAY AVE, SUITE 206, HEWLETT, NY 11557-1665
(516) 792-5683
(516) 594-4053
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
015749
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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