Provider Demographics
NPI:1225494727
Name:SUSAN TRAZOFF, M.S., LTD.
Entity Type:Organization
Organization Name:SUSAN TRAZOFF, M.S., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAZOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:845-639-9255
Mailing Address - Street 1:2 MANDON TER
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3910
Mailing Address - Country:US
Mailing Address - Phone:845-639-9255
Mailing Address - Fax:
Practice Address - Street 1:2 MANDON TER
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3910
Practice Address - Country:US
Practice Address - Phone:845-639-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty