Provider Demographics
NPI:1215042486
Name:SCHILIRO, SUSAN COLLURA (DPT CHT)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:COLLURA
Last Name:SCHILIRO
Suffix:
Gender:F
Credentials:DPT CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9932 66TH RD
Mailing Address - Street 2:SUITE LE
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4462
Mailing Address - Country:US
Mailing Address - Phone:718-544-1937
Mailing Address - Fax:718-544-0112
Practice Address - Street 1:9932 66TH RD
Practice Address - Street 2:SUITE LE
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4462
Practice Address - Country:US
Practice Address - Phone:718-544-1937
Practice Address - Fax:718-544-0112
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPT0063402251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0700920001OtherDMERC REG A
NYQ63081OtherBCBS
NYQ63081OtherBCBS