Provider Demographics
NPI:1598288110
Name:CSUY, ERICA JEAN (ATC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:JEAN
Last Name:CSUY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22278 CLASSIC WAY
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2800
Mailing Address - Country:US
Mailing Address - Phone:240-431-7939
Mailing Address - Fax:
Practice Address - Street 1:22278 CLASSIC WAY
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2800
Practice Address - Country:US
Practice Address - Phone:240-431-7939
Practice Address - Fax:240-431-7939
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer