Individual
DR. ELLIOT I SUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
389 HOOKER AVE, POUGHKEEPSIE, NY 12603
(845) 485-8100
Mailing address
389 HOOKER AVE, POUGHKEEPSIE, NY 12603
(845) 485-8100
(845) 485-8100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2604
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227321
NF WC
NY
01
—
NY2604
LICENSE NUMBER
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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