Healthcare Provider Details

I. General information

NPI: 1669434759
Provider Name (Legal Business Name): SUSAN D. ZBORAY APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E HANOVER AVE
CEDAR KNOLLS NJ
07927-2020
US

IV. Provider business mailing address

2 CONCORD CT
MONTVALE NJ
07645-1306
US

V. Phone/Fax

Practice location:
  • Phone: 973-401-2121
  • Fax:
Mailing address:
  • Phone: 201-573-9149
  • Fax: 201-573-9763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number26NC06689000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: