Provider Demographics
NPI:1538476049
Name:SCHEER, SUSAN KILLMER (PT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:KILLMER
Last Name:SCHEER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 RIVERSIDE DR APT 2E
Mailing Address - Street 2:APARTMENT 2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2104
Mailing Address - Country:US
Mailing Address - Phone:212-799-4160
Mailing Address - Fax:212-799-8221
Practice Address - Street 1:370 RIVERSIDE DR
Practice Address - Street 2:APARTMENT 2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2179
Practice Address - Country:US
Practice Address - Phone:212-799-4160
Practice Address - Fax:212-799-8221
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPHY0021062251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics