Most Relevant Information
Provider Data
| NPI Number: | 1841293990 |
| Provider Name: | SUSAN WORTSMAN MA-CCC |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 000396-1 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
425 E 25TH ST
NEW YORK
NY
100102547
Practice Location Phone/Fax
| Phone: | 2124814464 |
| Fax: |
Provider Mailing Location
68 ROCKLEDGE RD
APT 1C
HARTSDALE
NY
105303455
Provider Mailing Phone/Fax
| Phone: | 2124814464 |
| Fax: |