Individual
DR. ANDREW D SUSENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
186 E 111TH ST APT 2, NEW YORK, NY 10029-2840
(678) 488-9727
Mailing address
186 E 111TH ST APT 2, NEW YORK, NY 10029-2840
(678) 488-9727
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
034617
NY
Other
Enumeration date
01/04/2012
Last updated
01/08/2019
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