Provider Demographics
NPI:1164104907
Name:SUZANSKY, DOLORES THERESA (APN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:THERESA
Last Name:SUZANSKY
Suffix:
Gender:F
Credentials:APN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:900 EASTON AVENUE
Mailing Address - Street 2:STE 26, #216
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1760
Mailing Address - Country:US
Mailing Address - Phone:908-340-0492
Mailing Address - Fax:732-734-1962
Practice Address - Street 1:900 EASTON AVE
Practice Address - Street 2:STE 26 #216
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1760
Practice Address - Country:US
Practice Address - Phone:908-340-0492
Practice Address - Fax:732-734-1962
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14888500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health