Search › New Jersey › 103TC0700X
Susan Petak, PHD
NPI 1184088270 · on the registry since 2016 · sole proprietor
Practice
- Address
- 124 Churchill Rd
Tenafly, NJ 07670 - Phone
- (646) 418-4592
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey