Provider Demographics
NPI:1467757369
Name:SUVEEHARAN, DANISON R (OT)
Entity Type:Individual
Prefix:
First Name:DANISON
Middle Name:R
Last Name:SUVEEHARAN
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DEBORAH RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6721
Mailing Address - Country:US
Mailing Address - Phone:718-916-0736
Mailing Address - Fax:
Practice Address - Street 1:34 DEBORAH RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6721
Practice Address - Country:US
Practice Address - Phone:718-916-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016581225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist