Organization
PHYSIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA SHEPPER (OWNER)
(718) 753-3912
Entity
Organization
Contact information
Practice address
233 N MAIN ST, NEW CITY, NY 10956-4018
(201) 839-2762
Mailing address
75 DUDLEY DR, BERGENFIELD, NJ 07621-2613
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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