Dr. Susan M Grodman
Psychologist
19 West 34th Street Ph Level 13th Floor
New York
, New York 10001-3006
Dr. Susan M Grodman
Psychologist
19 West 34th Street Ph Level 13th Floor
New York
, New York 10001-3006
(718) 447-7520
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Susan M Grodman
- 85 Penbroke Avenue
- Staten Island, NY
- Zip : 10301-2062
- Phone : (718) 447-7520
Second Address
- Dr. Susan M Grodman
- 19 West 34th Street Ph Level 13th Floor
- New York, NY
- Zip : 10001-3006
- Phone : (917) 747-2430
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Is Dr. Susan M Grodman a sole practitioner?
Is Dr. Susan M Grodman accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 013866 | NY |
| Y | 103T00000X | Psychologist | 013866 | NY |
National Provider Identifier
| NPI | 1013093590 |
|---|---|
| Provider Name | Dr. Susan M Grodman |
| First Address | Staten Island, NY 10301-2062 |
| Second Address | New York, NY 10001-3006 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 03/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.