Individual
MS. SUSAN BARBARA DANCYGIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1311 55TH ST., BKLYN, NY 11219
(732) 740-0310
Mailing address
1311 55TH ST., BKLYN, NY 11219
(732) 740-0310
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
008695-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
008695-1
NY
2251P0200X
Pediatric Physical Therapist
40QA00445400
NJ
Other
Enumeration date
11/16/2008
Last updated
01/09/2009
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