Individual provider · Type 1 NPI
Andrew C. Susi, DC
Chiropractor · Far Rockaway, NY
NPI number
1780807388
Active
Practice location
499 Beach 20th St
Far Rockaway, NY 11691-3621
Fax (718) 327-1156
Mailing address
30 Island Parkway North
Island Park, NY 11558-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X008405 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1780807388
Andrew C. Susi, DC's National Provider Identifier is 1780807388, issued on Apr 11, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Far Rockaway, NY. The record was last updated on Jul 8, 2007.