Individual
SUSAN STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 BARSTOW RD, GREAT NECK, NY 11021-2229
(516) 482-4726
Mailing address
80 BAKER HILL RD, GREAT NECK, NY 11023-1527
(516) 829-8087
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
160554
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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