Provider Demographics
NPI:1508175068
Name:SONKIN, SUSAN (OTR)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SONKIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 W 29TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5271
Mailing Address - Country:US
Mailing Address - Phone:914-714-0112
Mailing Address - Fax:914-268-9478
Practice Address - Street 1:38 W 32ND ST STE 604
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3884
Practice Address - Country:US
Practice Address - Phone:914-714-0112
Practice Address - Fax:914-268-9478
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001307225XP0200X
NJ46TR00705100225XP0200X
CT4537225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics