DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSANA D TEDJASENDJAJA

Active Sole Proprietor

SUSANA D TEDJASENDJAJA is a Registered Nurse healthcare provider located in WOODSIDE, New York. NPI 1760813182 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · WOODSIDE, NY

Registration Details

NPI Number
1760813182
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2013 (12.702262115255 yrs)
Last Updated
Dec 11, 2013
License
677806 (NY)
Sole Proprietor
Yes

Practice Information

Address
3820 54TH ST
WOODSIDE, NY, 113772417
Browse NY providers · Browse ZIP 11377
Phone
9174122102
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in WOODSIDE, NY

Name Credential NPI
GINA REYES RN 1104940550
PARBATI GURUNG RN 1952632317
MS. SUA KIM 1568778108
MISS ELIZABETH MERCADER RN 1821387630
MARY ANNE CORKERY RN 1942583828
ANIL A MASIH RN 1043595895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.