MEDICARE: SUSAN JANE MORDUCH PHD

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	014634-1	NY
2	103TC0700X	Clinical Psychologist	014634	NY

General Provider Information

NPI Number	:	1417253485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN JANE MORDUCH PHD

Provider Business Mailing Address
First Line	:	547 SAW MILL RIVER RD
Second Line	:	STE 1D
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2154
Country	:	US
Telephone Number	:	212-851-8102
Fax Number	:	212-537-0102

Provider Business Practice Location Address
First Line	:	547 SAW MILL RIVER RD
Second Line	:	STE 1D
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2154
Country	:	US
Telephone Number	:	212-851-8102
Fax Number	:	212-537-0102

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

Provider Enumeration Date	:	02/08/2011
Last Update Date	:	02/25/2020

Similar Medicare Providers

1750808515 — JESSICA S SEIDEL
Practice Location Address:

547 SAW MILL RIVER RD STE 1A
ARDSLEY, NY
10502-2154

Practice Phone: 201-892-9692
Practice Fax:

1851897185 — ARCHER PSYCHOLOGICAL ASSOCIATES, PLLC
Practice Location Address:

547 SAW MILL RIVER RD STE 3G
ARDSLEY, NY
10502-2154

Practice Phone: 914-772-2709
Practice Fax:

1356338727 — SAY SPEECH PATHOLOGY, PC
Practice Location Address:

24 MAJOR APPLEBY RD
ARDSLEY, NY
10502-1627

Practice Phone: 914-837-6424
Practice Fax: 914-674-0994

1154310498 — JOHN THOMAS PC
Practice Location Address:

38 MCKINLEY PL
ARDSLEY, NY
10502-2322

Practice Phone: 914-693-6547
Practice Fax: 914-693-6547

1356331912 — MR. THOMAS STEVEN DEMOTT DC
Practice Location Address:

631 SAW MILL RIVER RD , STE 2NB
ARDSLEY, NY
10502-2146

Practice Phone: 914-478-1300
Practice Fax:

1366432890 — RIVERTOWNS PEDIATRIC DENTISTRY
Practice Location Address:

547 SAW MILL RIVER RD , SUITE 2A
ARDSLEY, NY
10502-2143

Practice Phone: 914-693-3650
Practice Fax: 914-693-0868

Directions to “ SUSAN JANE MORDUCH PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.