Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew D Suseno, PT

Individual provider Pediatric Physical Therapist · NPI 1932479292

Dr. Andrew D Suseno, PT is a Pediatric Physical Therapist in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

186 E 111th St Apt 2
New York, NY 10029-2840
Phone: (678) 488-9727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 95th St, Brooklyn, NY 11209-7404 — (718) 680-9751

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 034617 (NY)

Record details

NPI number1932479292
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 8, 2019

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