MEDICARE: SUZANNE BAUMGARTEN REIN PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1215428040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE BAUMGARTEN REIN PSYD

Provider Business Mailing Address
First Line	:	744 UNION ST APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 PLAZA ST E STE P108
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5047
Country	:	US
Telephone Number	:	914-548-9659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	01/29/2026

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