Most Relevant Information
Provider Data
| NPI Number: | 1003054677 |
| Provider Name: | SUSANNAH FALK SHOPSIN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | PR013037-1 |
Most Important Dates
| Enumeration Date: | 02/04/2009 |
| Last Updated: | 02/04/2009 |
Provider Practice Location
49 W 12TH ST
SUITE 1B
NEW YORK
NY
100118562
Practice Location Phone/Fax
| Phone: | 2126277904 |
| Fax: |
Provider Mailing Location
49 WEST 12TH STREET
SUITE 1B
NEW YORK
NY
100118530
Provider Mailing Phone/Fax
| Phone: | 2126277904 |
| Fax: |