Individual
SASHA SUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 503-0450
Mailing address
88 LAWRENCE ST APT 2, NEW HAVEN, CT 06511-2646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12.009911
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
9911
CT
Other
Enumeration date
08/20/2021
Last updated
05/08/2026
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