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General NPI Number Information
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NPI Number | 1528906088
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Entity Type | Individual
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Provider Name | JAYSON ALAN SUSON PT
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Gender | Male
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 345 E 37TH ST RM 310
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City | NEW YORK
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State | NY
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Zip | 10016-3256
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Country | US
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Telephone | 212-951-0430
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Fax | 212-951-0941
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Provider Business Mailing Address
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Address Line | 3744 65TH ST
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City | WOODSIDE
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State | NY
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Zip | 11377-2849
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Country | US
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Telephone | 646-246-3411
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 044832
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License Number State | NY
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