Provider Demographics
NPI:1922673151
Name:SUZANNE BURGER, PSY.D., P.C.
Entity Type:Organization
Organization Name:SUZANNE BURGER, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-319-6784
Mailing Address - Street 1:66 STRATFORD AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2415
Mailing Address - Country:US
Mailing Address - Phone:914-319-6784
Mailing Address - Fax:914-764-5582
Practice Address - Street 1:83 OLD MAMARONECK RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1903
Practice Address - Country:US
Practice Address - Phone:914-764-5582
Practice Address - Fax:914-764-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty