Provider Demographics
NPI:1770607459
Name:STEEL, SUSAN I
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:I
Last Name:STEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 CROTON LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD CORNERS
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4227
Mailing Address - Country:US
Mailing Address - Phone:914-241-3940
Mailing Address - Fax:
Practice Address - Street 1:507 CROTON LAKE RD
Practice Address - Street 2:
Practice Address - City:BEDFORD CORNERS
Practice Address - State:NY
Practice Address - Zip Code:10549-4227
Practice Address - Country:US
Practice Address - Phone:914-241-3940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012241-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist