Individual
MICHELLE LYNN SULESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
91 BASEL RD, PINE BUSH, NY 12566-7445
(845) 978-4755
Mailing address
91 BASEL RD, PINE BUSH, NY 12566-7445
(845) 978-4755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001603-1
NY
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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