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Dr. Andrew D Suseno, PT
Pediatric Physical Therapist in New York, New York
NPI 1932479292

Andrew D Suseno is a Pediatric Physical Therapist based in New York, NY and is specialized in Pediatrics. Andrew D Suseno practices in New York, NY and has the professional credentials of PT. The NPI Number for Andrew D Suseno is 1932479292 and holds a License No. 034617 (New York).

The current practice location address for Andrew D Suseno is 186 E 111Th St Apt 2, New York, NY and can be reached out via phone at 678-488-9727.

Location: 186 E 111Th St Apt 2, New York, NY, 10029-2840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932479292
Provider Name
Andrew D Suseno
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
186 E 111Th St Apt 2, New York, NY, 10029-2840
Phone Number
678-488-9727
Fax Number
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
186 E 111Th St Apt 2
City
New York
State
New York
Zip
10029-2840
Phone Number
678-488-9727
Fax Number
person
Provider Business Mailing Address Details
Address
186 E 111Th St Apt 2
City
New York
State
New York
Zip
10029-2840
Phone Number
678-488-9727
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
034617 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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