SearchNew York2251P0200X

Andrew Suseno, P.T

NPI 1932479292 · on the registry since 2012 · sole proprietor

Practice

Address
186 E 111th St Apt 2
New York, NY 10029
Phone
(678) 488-9727

Additional practice sites

  • 420 95th St, Brooklyn, NY

Registry record

Primary taxonomy
2251P0200X
2251P0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-08

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