Mrs. Suzanne Bussetti
Adolescent Medicine
620 Columbus Ave Ste 1
New York
, New York 10024-1458
Mrs. Suzanne Bussetti
Adolescent Medicine
620 Columbus Ave Ste 1
New York
, New York 10024-1458
(551) 996-5631
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrs. Suzanne Bussetti
- 30 Prospect Ave
- Hackensack, NJ
- Zip : 07601-1915
- Fax : (551) 996-5631
- Phone : (551) 996-5643
Second Address
- Mrs. Suzanne Bussetti
- 620 Columbus Ave Ste 1
- New York, NY
- Zip : 10024-1458
- Phone : (212) 874-4500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 2080A0000X | NY |
National Provider Identifier
| NPI | 1144368465 |
|---|---|
| Provider Name | Mrs. Suzanne Bussetti |
| First Address | Hackensack, NJ 07601-1915 |
| Second Address | New York, NY 10024-1458 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 19/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 26NJ0000560 | LICENSE (01) | NJ |
| F381444 | LICENSE (01) | NY |
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.