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Individual

SUSAN S GEEVARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11515 101ST AVE, HEARTSHARE FIRST STEP EARLY CHILDHOOD CENTER, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Mailing address
1790 FRONT ST, UNIT 24, EAST MEADOW, NY 11554-2400
(516) 385-6010

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
021043-1
NY

Other

Enumeration date
11/18/2010
Last updated
11/18/2010
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