Provider Demographics
NPI:1386881449
Name:HECHT, SUZANNE L (MSW)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:L
Last Name:HECHT
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 1:20 HAROLD RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3908
Mailing Address - Country:US
Mailing Address - Phone:718-704-9364
Mailing Address - Fax:
Practice Address - Street 1:100 MANETTO HILL RD STE 102C
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:718-704-9364
Practice Address - Fax:516-336-5572
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD092061041C0700X
DCLC3031661041C0700X
NY074380-1R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2536508OtherUNITED HEALTH CARE
NYP3931031OtherOXFORD HEALTH PLANS
NY11523552OtherCAQH