Suseno, Andrew D
Suseno, Andrew D is an sole proprietor health care provider with primary practice located at 186 E 111Th St Apt 2 , New York NY 10029-2840. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Suseno, Andrew D can be contacted via phone (678) 488-9727.Contact Information
Primary practice address
186 E 111Th St Apt 2
New York NY 10029-2840
Phone: (678) 488-9727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 034617 | New York |
Profile Details
| NPI number | 1932479292 |
|---|---|
| LBN Legal business name | Suseno, Andrew D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Jan 8th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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