Provider Demographics
NPI:1821307125
Name:SUSSMAN, CARA EVE (DOCTORATE OF PT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:EVE
Last Name:SUSSMAN
Suffix:
Gender:F
Credentials:DOCTORATE OF PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BEEKMAN ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1522
Mailing Address - Country:US
Mailing Address - Phone:212-964-3334
Mailing Address - Fax:212-964-0118
Practice Address - Street 1:19 BEEKMAN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1522
Practice Address - Country:US
Practice Address - Phone:212-964-3334
Practice Address - Fax:212-964-0118
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033088-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist