DR. SUSAN DISTASIO, D.O.
Physical Medicine & Rehabilitation - Sports Medicine
Active
Individual
NPI: 1700010410
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physical Medicine & Rehabilitation - Sports Medicine | 2081S0010X | Yes | 271109 (NY) |
Frequently Asked Questions
NPI 1700010410 is the National Provider Identifier for DR. SUSAN DISTASIO, D.O., a Physical Medicine & Rehabilitation - Sports Medicine provider located in Bronx, NY. This NPI was enumerated on May 8, 2009.
DR. SUSAN DISTASIO, D.O. practices at 3713 E TREMONT AVE, Bronx, NY 10465.
Quick Facts
- NPI
- 1700010410
- Type
- Individual
- Enumerated
- May 8, 2009
- Last Updated
- Aug 12, 2014
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