Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susana D Tedjasendjaja

Individual provider Registered Nurse · NPI 1760813182

Susana D Tedjasendjaja is a Registered Nurse in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

3820 54th St
Woodside, NY 11377-2417
Phone: (917) 412-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 677806 (NY)

Record details

NPI number1760813182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013

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