Provider Demographics
NPI:1558506337
Name:SORSCHER, SUSAN SIGADEL (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:SIGADEL
Last Name:SORSCHER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 ROUND HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1537
Mailing Address - Country:US
Mailing Address - Phone:516-659-6758
Mailing Address - Fax:516-625-4447
Practice Address - Street 1:250 ROUND HILL RD
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1537
Practice Address - Country:US
Practice Address - Phone:516-659-6758
Practice Address - Fax:516-625-4447
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003151-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist