Provider Demographics
NPI:1225875560
Name:TORTORA, SUZI (EDD, BC-DMT, LCAT,)
Entity type:Individual
Prefix:DR
First Name:SUZI
Middle Name:
Last Name:TORTORA
Suffix:
Gender:F
Credentials:EDD, BC-DMT, LCAT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 ROUTE 9D STE 1
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-2626
Mailing Address - Country:US
Mailing Address - Phone:845-265-1085
Mailing Address - Fax:
Practice Address - Street 1:1806 ROUTE 9D STE 1
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-2626
Practice Address - Country:US
Practice Address - Phone:845-265-1085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health