Organization
SUSAN F EPSTEIN PHD, LICENSED PSYCHOLOGIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN F EPSTEIN PHD (OWNER)
(646) 450-3633
Entity
Organization
Contact information
Practice address
5 W 86TH ST APT 1C, NEW YORK, NY 10024-3663
(646) 450-3633
Mailing address
3524 78TH ST APT B11, JACKSON HEIGHTS, NY 11372-4705
(646) 250-8441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
016655
NY
261QD1600X
Developmental Disabilities Clinic/Center
016655
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
016655
NY
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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