SearchNew York2081S0010X

Susan Distasio, D.O

NPI 1700010410 · on the registry since 2009

Practice

Address
3713 E Tremont Ave
Bronx, NY 10465
Phone
(718) 792-4878
Organisation at this address
Internal Medicine Of Throggs Neck
Multi-Specialty Pain Management, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
2081S0010X
2081S0010X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York