Provider Demographics
NPI:1689814220
Name:ABIOG, SUSAN DIALOGO (PT)
Entity Type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:DIALOGO
Last Name:ABIOG
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 1:46 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1020
Mailing Address - Country:US
Mailing Address - Phone:516-851-5668
Mailing Address - Fax:
Practice Address - Street 1:46 MAPLE LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1020
Practice Address - Country:US
Practice Address - Phone:516-851-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist