Individual provider · Type 1 NPI

Shelby Sussman

Specialist · Staten Island, NY

NPI number 1306288980 Active

Practice location

33 Mulberry Cir
Staten Island, NY 10314-3715

Call (917) 685-8979 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1306288980

Shelby Sussman's National Provider Identifier is 1306288980, issued on Jul 23, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 23, 2013.