Provider Demographics
NPI:1619772969
Name:GJINOVIC, SUZANA (MFT)
Entity type:Individual
Prefix:
First Name:SUZANA
Middle Name:
Last Name:GJINOVIC
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7906 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3907
Mailing Address - Country:US
Mailing Address - Phone:718-704-0898
Mailing Address - Fax:718-540-8840
Practice Address - Street 1:7906 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3907
Practice Address - Country:US
Practice Address - Phone:718-704-0898
Practice Address - Fax:718-540-8840
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP133848106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist