Provider Demographics
NPI:1356616874
Name:BURSTEIN, SUSAN (MSW)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:BURSTEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2311
Mailing Address - Country:US
Mailing Address - Phone:845-641-4940
Mailing Address - Fax:
Practice Address - Street 1:46 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1321
Practice Address - Country:US
Practice Address - Phone:845-356-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker