Provider Demographics
NPI:1851669410
Name:SIMON, SUSAN KAPLAN (MS PT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KAPLAN
Last Name:SIMON
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:145 EAST 81ST STREET
Mailing Address - Street 2:APT 12B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:646-455-0226
Mailing Address - Fax:
Practice Address - Street 1:145 EAST 81ST STREET
Practice Address - Street 2:APT 12B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:646-455-0226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0341212251P0200X
CA103902251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics