Shawn James Sussman

NPI #1679592182 in Merrick, New York

Provider Information

NPI Number: 1679592182
Entity Type: Individual
Name: Shawn James Sussman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 18, 2006
Last Updated: Jun 28, 2023

Practice Location

Address: 2821 RIVERSIDE AVE
City: Merrick
State: New York
ZIP Code: 11566-4940
Phone: (516) 663-2384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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