| Doctor Name: | MRS. SUSAN HARRIET MINTZER |
| NPI Number: | 1013211176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSWR |
| License Number: | R-033415-1 |
| Business Practice Address: | 17810 Wexford Ter Jamaica, NY - 114323050 |
| Business Phone Number: | 7186581123 |
| Business Fax Number: | 7186584641 |
| Mailing Address: | 325 W 45th St, Apt. 506 NEW YORK |
| State: | NY |
| Postal Code: | 100363803 |
| Phone Number: | 8452426664 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2011 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R-033415-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |