SUSAN STILLMAN


Address: 15 Barstow Rd, Great Neck, NY 11021-2229
Phone: 5164824726

SUSAN STILLMAN (NPI# 1013094481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013094481
Entity Type Individual
Full Name SUSAN STILLMAN
Credential M.D.
Practice Address 15 Barstow Rd
Great Neck
NY 11021-2229
Mailing Address 80 Baker Hill Rd
Great Neck
NY 11023-1527
Practice Telephone 5164824726
Mailing Telephone 5168298087
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
160554 NY Allopathic & Osteopathic Physicians

Other Providers SUSAN STILLMAN

NPI Name Taxonomy Address Enumeration
1154304061 Susan Stillman Social Worker 6638 W Ottawa Ave, Suite 140-2, Littleton, CO 80128-4562 2005-11-23

Office Location

Street Address 15 BARSTOW RD
City GREAT NECK
State NY
Zip Code 11021-2229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518396308 New York Neurology and Medical Services P.c Chiropractor 15 Barstow Rd, Great Neck, NY 11021-2211 2013-11-02
1760752455 Fahrenheit Physical Therapy PC Clinic/Center 15 Barstow Rd, Great Neck, NY 11021-2211 2012-01-11
1396026779 James Christian Sardelli Physician Assistant 15 Barstow Rd, Suite 105, Great Neck, NY 11021-2211 2011-08-30
1679877740 Kenneth Kahaner M.d. Psychiatry & Neurology 15 Barstow Rd, Great Neck, NY 11021-2211 2011-01-05
1295063246 Suzan Shifteh Physician Assistant 15 Barstow Rd, Great Neck, NY 11021-2229 2009-12-03
1871763748 Scott N. Surasky, Dc Chiropractor 15 Barstow Rd, Great Neck, NY 11021-2229 2008-03-07
1740302538 Joel Roy Studin Specialist 15 Barstow Rd, Great Neck, NY 11021-2229 2007-04-04
1992824825 Amy R. Kahaner Counselor 15 Barstow Rd, Great Neck, NY 11021-2229 2007-03-29
1013071380 Ernst M Kayne Psychiatry & Neurology 15 Barstow Rd, Great Neck, NY 11021-2229 2006-12-21

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NPI Name Taxonomy Address Enumeration
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1366929267 Vishva Vajra Acupuncture PC Acupuncturist 23a Middle Neck Road, Great Neck, NY 11021 2018-07-24
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1881183275 Liat Mindy Brody Occupational Therapist 7 Hickory Dr, Great Neck, NY 11021 2018-05-01
1457853707 Allison Squillace Social Worker 7 Bond Suite 1a, Great Neck, NY 11021 2018-03-02
1275042855 Seolhee Kang Acupuncturist 26 Linden Street, Apt 4c, Great Neck, NY 11021 2017-09-26
1346781598 Sara Dreiblatt Speech-Language Pathologist 211-45 46th Road, Queens, NY 11021 2017-03-20
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336746403 Four Boroughs Aba Pediatrics 1344 E 24th St, Brooklyn, NY 11210-5143 2020-10-02
1447881735 Jihee Chae Pediatrics 60 Wishing Ln, Hicksville, NY 11801-6423 2020-01-27
1235693730 Sally Joanne Marotta Reed Pediatrics 5292 Cambria Rd, Sanborn, NY 14132-9412 2019-01-29
1063982817 Jessica Elizabeth Sapio Pediatrics 125 Currier Ave, Sloan, NY 14212-2222 2018-12-04
1093293037 Apf Therapeutic Services Inc Pediatrics 918 E 218th St Fl 1, Bronx, NY 10469-1006 2018-08-01
1679003552 Lauren Jennifer Elchonen Pediatrics 18 N Cheryl St, Spring Valley, NY 10977-6510 2017-06-14
1295107183 Spandana Nallapati Pediatrics 1510 Lexington Ave Apt 4n, New York, NY 10029-7154 2015-10-30
1275802811 Icahn School of Medicine At Mount Sinai Pediatrics 500 7th Ave Fl 8, New York, NY 10018-4502 2011-12-28
1770870040 Aleeya Healey Pediatrics 391 Myrtle Ave Ste 3b, Albany, NY 12208-3835 2011-07-07
1205045309 Bharati R Shah Pediatrics 9 Wilbur Rd, Hudson Valley Ddso, Thiells, NY 10984-0470 2007-05-22
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Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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