DR. JEFFREY BRUCE SUSSMAN


Address: 1 Colonial Rd, Scarsdale, NY 10583-7709
Phone: 9147257952

DR. JEFFREY BRUCE SUSSMAN (NPI# 1699804997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699804997
Entity Type Individual
Full Name DR. JEFFREY BRUCE SUSSMAN
Credential PSY.D.
Practice Address 1 Colonial Rd
Scarsdale
NY 10583-7709
Practice Telephone 9147257952
Mailing Telephone 9147257952
Enumeration Date 2007-03-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
012614 NY Behavioral Health & Social Service Providers

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Office Location

Street Address 1 COLONIAL RD
City SCARSDALE
State NY
Zip Code 10583-7709

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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Competitor

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City SCARSDALE
Zip Code 10583

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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