Doctor Name: | DR. SUSAN WEIGEL PASTERNAK |
NPI Number: | 1023131844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.H. |
License Number: | 016382 |
Business Practice Address: | 9 Desbrosses St Suite 406 New York, NY - 100131701 |
Business Phone Number: | 2125482394 |
Business Fax Number: | |
Mailing Address: | 179 Duane St, Apt 5 NEW YORK |
State: | NY |
Postal Code: | 100133397 |
Phone Number: | 2122198384 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 016382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |