Provider Demographics
NPI:1710130869
Name:DORSAINVIL, SUZIE (OCCUP THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:SUZIE
Middle Name:
Last Name:DORSAINVIL
Suffix:
Gender:F
Credentials:OCCUP THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 MOLYNEAUX RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1925
Mailing Address - Country:US
Mailing Address - Phone:516-561-9522
Mailing Address - Fax:516-561-9522
Practice Address - Street 1:39 MOLYNEAUX RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1925
Practice Address - Country:US
Practice Address - Phone:516-561-9522
Practice Address - Fax:516-561-9522
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-01
Last Update Date:2008-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004989225XG0600X, 225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation