Individual
SUSMITA HAZARIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 WALNUT ST STE 1012, PHILADELPHIA, PA 19102-4010
(855) 940-4867
Mailing address
504 E 63RD ST APT 33L, NEW YORK, NY 10065-7929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
224287
NC
2084P0800X
Psychiatry Physician
317453
NY
2084P0800X
Psychiatry Physician
Primary
MD479425
PA
Other
Enumeration date
02/03/2017
Last updated
11/21/2024
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