Provider Demographics
NPI:1346933694
Name:FATTORINI, SUZANNE JUNE (LMSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:JUNE
Last Name:FATTORINI
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:JUNE
Other - Last Name:PAULINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:25515 87TH DR
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1458
Mailing Address - Country:US
Mailing Address - Phone:516-835-9635
Mailing Address - Fax:
Practice Address - Street 1:2857 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-5126
Practice Address - Country:US
Practice Address - Phone:718-235-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker