SUZAN SHIFTEH


Address: 15 Barstow Rd, Great Neck, NY 11021-2229
Phone: 5164828008

SUZAN SHIFTEH (NPI# 1295063246) 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) 1295063246
Entity Type Individual
Full Name SUZAN SHIFTEH
Credential PA
Practice Address 15 Barstow Rd
Great Neck
NY 11021-2229
Practice Telephone 5164828008
Enumeration Date 2009-12-03
Last Update Date 2009-12-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
005457 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

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

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NPI Name Taxonomy Address Enumeration
1013094481 Susan Stillman Pediatrics 15 Barstow Rd, Great Neck, NY 11021-2229 2006-11-01
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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
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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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1003225194 Michelle Stewart Physician Assistant 600 Northern Blvd, Suite 300, Great Neck, NY 11021-5206 2014-08-04
1164703872 Eva M. Taczanowski Bersin Physician Assistant 833 Northern Blvd, Great Neck, NY 11021-5315 2011-09-08
1518193770 Heather Hurd Physician Assistant 600 Northern Blvd, Suite 115, Great Neck, NY 11021-5200 2009-06-02
1174725857 Marina Travalja Physician Assistant 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5302 2007-06-04

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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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