Individual
DR. DAVID JOEL SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HANSON PL, BROOKLYN, NY 11243-2907
(718) 783-2111
(718) 857-4901
Mailing address
48 SEALY DR, LAWRENCE, NY 11559-2420
(718) 783-2111
(718) 857-4901
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
124363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019892
GHI HMO
NY
01
—
0000712414
APWU
NY
01
—
000269400101
HEALTH PLUS
NY
05
—
00291649
—
NY
01
—
0042154
AETNA
NY
01
—
0764785
CIGNA
NY
01
—
119892
WELLCARE
NY
01
—
124363 N01
HIP
NY
01
—
124363A-21
HEALTHFIRST
NY
01
—
25528P
HIP
NY
01
—
442012084
RAILROAD MEDICARE
NY
01
—
BKX094501
AMERICHOICE
NY
01
—
KS385
OXFORD
NY
01
—
OC2752
HEALTHNET
NY
Enumeration date
12/19/2006
Last updated
01/28/2013
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