Provider Demographics
NPI:1659451219
Name:COURTWRIGHT, SUZANNE E (PHD, MSN, PNP, NEA-B)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:E
Last Name:COURTWRIGHT
Suffix:
Gender:F
Credentials:PHD, MSN, PNP, NEA-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:6821 UPPER YORK RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-9511
Mailing Address - Country:US
Mailing Address - Phone:862-596-3634
Mailing Address - Fax:
Practice Address - Street 1:MMC - DEPT. OF CT SURGERY
Practice Address - Street 2:3400 BAINBRIDGE AVENUE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381583363L00000X
NYF381583363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner