Provider Demographics
NPI:1114810181
Name:SUSSMAN, CHAYA SHIFFY
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:SHIFFY
Last Name:SUSSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CARLTON LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2002
Mailing Address - Country:US
Mailing Address - Phone:347-831-6104
Mailing Address - Fax:
Practice Address - Street 1:11 CARLTON LN
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2002
Practice Address - Country:US
Practice Address - Phone:347-831-6104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula