Provider Demographics
NPI:1215113139
Name:LAMBROS, SUSAN DALLMANN (PT, MS)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:DALLMANN
Last Name:LAMBROS
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:LYNN
Other - Last Name:DALLMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-0662
Mailing Address - Country:US
Mailing Address - Phone:914-669-9085
Mailing Address - Fax:914-669-9095
Practice Address - Street 1:56 JUNE RD
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560-1702
Practice Address - Country:US
Practice Address - Phone:914-669-9085
Practice Address - Fax:914-669-9095
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009092174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist