Individual
JUDITH SUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 685-9560
Mailing address
PO BOX 8000 DEPT 164, BUFFALO, NY 14267-0002
(716) 692-3302
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
122426-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01280235
—
NY
Enumeration date
01/28/2006
Last updated
12/28/2010
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