Suzanne Miles-Gustave was appointed NYC’s Deputy Mayor for Health and Human Services by Mayor Eric Adams in March 2025. The Deputy Mayor for Health and Human Services is responsible for ensuring the agencies that deliver social programming are run compassionately, equitably and effectively, and that the City’s public health and healthcare delivery systems are working for all New Yorkers.   Agencies and Mayor’s Offices reporting to the Deputy Mayor for Health and Human Services include: NYC Health + Hospitals, the Department of Health and Mental Hygiene, Office of Chief Medical Examiner, Department of Social Services (Human Resources Administration and Department of Homeless Services), Administration for Children’s Services, Department for the Aging, Office of Immigrant Affairs, Office to End Domestic and Gender-Based Violence, Department of Veterans’ Services, the Office of Community Mental Health, and the Mayor’s Office for People with Disabilities.  All those agencies and offices total roughly $20B annual spending and have a combined total of approximately 68,000 staff.

Deputy Mayor Miles-Gustave is an experienced collective-impact executive with over 20 years of legal, strategic policy, and management expertise in the human services and education reform sectors. With a mission to create equitable systems of care and support that foster multi-generational family and community well-being, she recently joined the inaugural Ph.D. cohort at Meharry Medical College School of Global Health.

As the former acting commissioner and executive deputy commissioner at the New York State Office of Children and Family Services (OCFS), Deputy Mayor Miles-Gustave led a team of over 3,000 staff, while managing a budget of $5 billion to provide a range of programs, services, and initiatives to protect and support children, families, and communities across the state. As the previous general counsel for OCFS, she led a team of legal professionals providing all in-house legal guidance and risk mitigation support.

Deputy Mayor Miles-Gustave began her public service work at the local level in New York City and Westchester County. She previously practiced law in the private sector and clerked on the U.S. Court of Appeals for the Sixth Circuit.

Deputy Mayor Miles-Gustave is a product of the New York City public school system, holds a Bachelor of Arts in photography from the State University of New York at Buffalo, and earned her law degree from Fordham University School of Law.