Provider Demographics
NPI:1720389356
Name:GISONDA, SUSAN (DNP, RN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:GISONDA
Suffix:
Gender:F
Credentials:DNP, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 23RD ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4408
Mailing Address - Country:US
Mailing Address - Phone:646-650-5337
Mailing Address - Fax:
Practice Address - Street 1:30 E 23RD ST STE 700
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4408
Practice Address - Country:US
Practice Address - Phone:646-650-5337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401343363LP0808X
NY40401343363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health